Individual
DR. DARRELL A. ROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2510 5TH ST BLDG 840, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2681
Mailing address
2510 5TH ST BLDG 840, WRIGHT PATTERSON AFB, OH 45433-7951
(937) 938-2681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2826
WI
152W00000X
Optometrist
Primary
5527
OH
Other
Enumeration date
02/08/2006
Last updated
04/05/2018
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