Individual
MCCOLM THAI DIEN PURSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4600 NW 2ND ST, DES MOINES, IA 50313-2254
(913) 201-1807
Mailing address
2530 UNIVERSITY AVE APT 321, DES MOINES, IA 50311-4517
(913) 201-1807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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