Individual
VICTORIA RUSANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1720 2ND AVE S # THT-422, BIRMINGHAM, AL 35294-0004
(205) 975-2767
(205) 934-1721
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L.4428VP
AL
Other
Enumeration date
10/05/2016
Last updated
10/06/2016
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