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NPI Code Detail

MEDICARE: DR. ADAM TAYLOR ROUSSAS MD

MEDICARE: DR. ADAM TAYLOR ROUSSAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician036168767IL
2207P00000XEmergency Medicine Physician78722AZ
3207P00000XEmergency Medicine Physician01093490AIN

General Provider Information

NPI Number : 1356978696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM TAYLOR ROUSSAS MD
Provider Business Mailing Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-626-8721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 01/15/2026

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