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1639167042
THOMAS A. MALLISEE
DES MOINES, IA
NPI
1639167042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085B0100X Radiology, Body Imaging
(Licence: IA 32854)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
Dr. THOMAS A. MALLISEE M.D.
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-2667
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Mailing Address
Dr. THOMAS A. MALLISEE M.D.
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-643-2667
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