THERESA MACDISSI, P.A.-C
Physician Assistant
Active
Individual
NPI: 1164840617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 1802 (NE) |
| Physician Assistant | 363A00000X | Yes | 092083 (IA) |
Frequently Asked Questions
NPI 1164840617 is the National Provider Identifier for THERESA MACDISSI, P.A.-C, a Physician Assistant provider located in Council Bluffs, IA. This NPI was enumerated on April 2, 2014.
THERESA MACDISSI, P.A.-C practices at 1 EDMUNDSON PL STE 306, Council Bluffs, IA 51503.
Quick Facts
- NPI
- 1164840617
- Type
- Individual
- Enumerated
- Apr 2, 2014
- Last Updated
- Jun 18, 2018
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