Theresa Macdissi, P.A.-C
NPI #1164840617 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1164840617
- Entity Type
- Individual
- Name
- Theresa Macdissi, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- Apr 2, 2014
- Last Updated
- Jun 18, 2018
Practice Location
- Address
- 1 EDMUNDSON PL STE 306
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51503
- Phone
- (712) 396-7787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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