JOHN L. ROUSSALIS M.D., P.C.
Medical Practice at 2 St, Casper, WY

License number
Wyoming 7691A
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. JOHN LOUIS ROUSSALIS M.D.
Title: PRESIDENT
Phone: (307) 234-4585
Address
Address
1129 E 2Nd St, Casper, WY 82601
National Provider ID: 1205025624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John L. Roussalis, M.D., PC

1129 E 2 St, Casper, WY 82601

Registration:
Oct 8, 2007
State ID:
2007-000544266
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual

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