Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL-PHILIPPE ROUSSEAU
Active Sole ProprietorCARL-PHILIPPE ROUSSEAU is a Adolescent Medicine healthcare provider located in GLENDALE, Colorado. NPI 1881077030 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GLENDALE, CO
Registration Details
- NPI Number
- 1881077030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2015 (11.12349466735 yrs)
- Last Updated
- Jul 10, 2025
- Licenses
-
289925 (NY)DR.0075292 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4100 E MISSISSIPPI AVE STE 110GLENDALE, CO, 802463051Browse CO providers · Browse ZIP 80246
- Phone
- 3035529522
- Fax
- 4152527176
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.