CARISSA MICHELLE SPAIN

IOWA CITY, IA
NPI1053656116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  002348)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: IA  002348)
363AS0400X Physician Assistant, Surgical
(Licence: IA  002348)
363A00000X Physician Assistant
(Licence: IL  085.004555)
Enumeration Date2012-11-30
Last Update Date2024-05-02
Business Address
CARISSA MICHELLE SPAIN PA-C
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 563-344-2240
Mailing Address
CARISSA MICHELLE SPAIN PA-C
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 563-344-2240