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Mr. David Dean Nisley, PA-C
Surgical Physician Assistant in Modesto, California
NPI 1710044888

David Dean Nisley is a Surgical Physician Assistant based in Modesto, CA and is specialized in Surgical. David Dean Nisley practices in Modesto, CA and has the professional credentials of PA-C. The NPI Number for David Dean Nisley is 1710044888 and holds a License No. PA 12965 (California).

The current practice location address for David Dean Nisley is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-578-1211. You can also correspond with David Dean Nisley through the mailing address at 1441 FLORIDA AVE, MODESTO, CA - 95350-4404 (mailing address contact number: 209-576-3601).

Location: 1441 Florida Ave, Modesto, CA, 95350-4404
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Provider Profile Details
NPI Number
1710044888
Provider Name
David Dean Nisley
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1441 Florida Ave, Modesto, CA, 95350-4404
Phone Number
209-578-1211
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
State
Zip
95350-4405
Phone Number
209-578-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
State
Zip
95350-4404
Phone Number
209-576-3601
Fax Number
209-576-3680
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA 12965 (California)
Definition
Definition to come...
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