Individual
MR. DAVID DEAN NISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1441 FLORIDA AVE, NEUROSURGERY PA, MODESTO, CA 95350-4405
(209) 578-1211
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3601
(209) 576-3680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 12965
CA
Other
Enumeration date
01/02/2007
Last updated
03/28/2016
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