Provider profile

Individual

Thomas A. Mallisee

Radiology in Des Moines, IA. NPI 1639167042, listed in the CMS NPI Registry since 10/10/2005. Bills Medicare.

NPI 1639167042Specialty RadiologyEnumerated 10/10/2005
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Registry and Medicare facts

Practice location
1111 6th Ave, Des Moines, IA 50314
CMS NPI Registry
Phone
(515) 643-2667
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Body Imaging
CMS NPI Registry
Enumeration date
10/10/2005
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,081 Part B
CMS Medicare 2024

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