Individual
DR. RICHARD PAUL DESRUISSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE, SUITE 200, HUNTSVILLE, AL 35801-4551
(256) 539-0457
(256) 539-5827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35792
AL
2085R0202X
Diagnostic Radiology Physician
40906
TN
2085R0202X
Diagnostic Radiology Physician
50784
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11549356
CAQH
AL
05
—
196671
—
AL
05
—
196722
—
AL
05
—
196739
—
AL
05
—
197009
—
AL
05
—
197762
—
AL
05
—
197989
—
AL
05
—
198034
—
AL
05
—
198600
—
AL
05
—
219758
—
AL
05
—
247397
—
AL
05
—
247530
—
AL
05
—
247723
—
AL
05
—
247748
—
AL
05
—
248917
—
AL
05
—
3020207
—
TN
01
—
51189608
BCBS
AL
01
—
51189609
BCBS
AL
01
—
51189611
BCBS
AL
01
—
51189612
BCBS
AL
01
—
51189613
BCBS
AL
01
—
51189615
BCBS
AL
01
—
51209294
BCBS
AL
01
—
51589606
BCBS
AL
Enumeration date
04/19/2006
Last updated
08/09/2023
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