Individual
VINCENZO TINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 37TH ST STE 1, WEST DES MOINES, IA 50266-1900
(866) 227-9495
Mailing address
12020 PACIFIC ST STE 100, OMAHA, NE 68154-3507
(866) 227-9495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
125756
IA
Other
Enumeration date
08/13/2024
Last updated
10/03/2024
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