DIMITRI BOREISHA

DES MOINES, IA
NPI1164081584
Other NameDMYTRO BOREISHA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  R-11655)
Enumeration Date2019-06-10
Last Update Date2019-06-10
Business Address
DIMITRI BOREISHA DO
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-2682
Mailing Address
DIMITRI BOREISHA DO
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-2682
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