DAVID DEAN NISLEY

MODESTO, CA
NPI1710044888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA 12965)
Enumeration Date2007-01-02
Last Update Date2016-03-28
Business Address
Mr. DAVID DEAN NISLEY PA-C
1441 FLORIDA AVE NEUROSURGERY PA
MODESTO, CA 95350-4405
Phone number: 209-578-1211
Mailing Address
Mr. DAVID DEAN NISLEY PA-C
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3601
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