Individual
PATRICK ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1735 E MAIN ST, PRATTVILLE, AL 36066-5525
(334) 358-2188
(334) 358-0766
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA56TA637
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943214
—
AL
Enumeration date
07/05/2006
Last updated
04/04/2017
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