MR. DAVID GERALD DEISSENBERG NPI 1962767335

NPI Information

MR. David Gerald Deissenberg is a specialist in Las Cruces, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. David Gerald Deissenberg NPI is 1962767335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

126 S DOWNTOWN MALL
LAS CRUCES, NM
ZIP 88001-218
Phone: (702) 596-2514

The enumeration date for this NPI number is 7/11/2012 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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