Organization
ROUSSO FACIAL PLASTIC SURGERY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E ROUSSO M.D (MEDICAL DIRECTOR)
(205) 930-9595
Entity
Organization
Contact information
Practice address
2700 HIGHWAY 280 S, SUITE 300 WEST, BIRMINGHAM, AL 35223-2420
(205) 930-9595
(205) 802-7719
Mailing address
2700 HIGHWAY 280 S, SUITE 300 WEST, BIRMINGHAM, AL 35223-2420
(205) 930-9595
(205) 802-7719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12459
AL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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