John L. Roussalis M.d., P.c.

NPI #1205025624 in Casper, Wyoming

Provider Information

NPI Number: 1205025624
Entity Type: Organization
Organization Name: John L. Roussalis M.d., P.c.
Primary Specialty: Plastic Surgery
Enumeration Date: Oct 22, 2007
Last Updated: Sep 7, 2011

Practice Location

Address: 1129 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82601-2903
Phone: (307) 234-4585

Authorized Official

Name: DR. JOHN LOUIS ROUSSALIS, M.D.
Title: PRESIDENT
Phone: (307) 234-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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