Individual
RANDALL COREY ROUGELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 METAIRIE RD STE 101, METAIRIE, LA 70005-3982
(504) 644-4226
Mailing address
1615 METAIRIE RD STE 101, METAIRIE, LA 70005-3982
(504) 644-4226
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
25836
MS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
309295
LA
Other
Enumeration date
03/20/2013
Last updated
07/17/2025
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