Individual
DR. ANDY JOSEPH ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192-2460
(703) 491-9500
(703) 491-9994
Mailing address
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192-2460
(703) 491-9500
(703) 491-9994
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300955
VA
Other
Enumeration date
02/12/2006
Last updated
05/22/2012
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