Individual
TINA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6601 SW 9TH ST, DES MOINES, IA 50315-6138
(515) 643-9400
(515) 643-9405
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9400
(515) 643-9405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00822
IA
Other
Enumeration date
08/08/2006
Last updated
01/02/2013
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