ALAN EDWARD DEISSINGER

ALBUQUERQUE, NM
NPI1679536585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  PA 81-005)
Enumeration Date2006-04-11
Last Update Date2007-07-08
Business Address
Mr. ALAN EDWARD DEISSINGER PA
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Mailing Address
Mr. ALAN EDWARD DEISSINGER PA
PO BOX 111
SANDIA PARK, NM 87047-0111
Phone number: 505-281-0416