Individual
LARISSA A BISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1530 E EUCLID AVE, DES MOINES, IA 50313-4726
(515) 989-6001
(515) 262-5555
Mailing address
1530 E EUCLID AVE, DES MOINES, IA 50313-4726
(515) 989-6001
(515) 262-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002313
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932193224
—
IA
Enumeration date
07/24/2012
Last updated
02/18/2020
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