Andy Joseph Roussel in Lake Ridge - Foot & Ankle Surgery
Andy Joseph Roussel - NPI 1417920117
Andy Joseph Roussel is a Foot & Ankle Surgery in Lake Ridge, Virginia. Andy Joseph Roussel practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Andy Joseph Roussel is 1417920117. The last update date is 2012-05-22.
Andy Joseph Roussel's current location address is 1721 Financial Loop, Lake Ridge, Virginia. You can contact this provider via phone number 7034919500 and fax number 7034919994. The mailing address for Andy Joseph Roussel is 1721 Financial Loop, Lake Ridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andy Joseph Roussel |
|---|---|
| Address | 1721 Financial Loop, Lake Ridge, Virginia |
| Phone Number | 7034919500 |
| Fax Number | 7034919994 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1417920117 |
|---|---|
| Provider Enumeration Date | 2006-02-12 |
| Last Updated Date | 2012-05-22 |
Provider Mailing Address Detail
| Address | 1721 Financial Loop |
|---|---|
| City | Lake Ridge |
| State | Virginia (VA) |
| Post Code | 221922460 |
| Phone Number | 7034919500 |
| Fax Number | 7034919994 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 103300955 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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What is the Andy Joseph Roussel's unique identification number?
The Andy Joseph Roussel has been assigned the NPI (National Provider Identifier) Number 1417920117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Andy Joseph Roussel?
The Andy Joseph Roussel is situated at 1721 Financial Loop, in the city of Lake Ridge, state of VA, with the zip code 221922460.
What is Andy Joseph Roussel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andy Joseph Roussel is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417920117 to Andy Joseph Roussel?
The Centers for Medicare & Medicaid Services originally issued the 1417920117 to Andy Joseph Roussel on 2006-02-12.
When was the information regarding Andy Joseph Roussel most recently updated?
The details pertaining to the Andy Joseph Roussel, including its address, specialty, and other relevant information, were last refreshed on 2012-05-22.
NPI Number: 1982607784
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