Individual
MR. ALAN EDWARD DEISSINGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
PO BOX 111, SANDIA PARK, NM 87047-0111
(505) 281-0416
(505) 256-2747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 81-005
NM
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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