Doctor Name: | MR. PERRY WILLIAM DESBIEN |
NPI Number: | 1578841375 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN |
License Number: | TMP 143228 |
Business Practice Address: | 220 W 2nd St Goodland, KS - 677351602 |
Business Phone Number: | 7858903625 |
Business Fax Number: | |
Mailing Address: | 220 W 2nd St, GOODLAND |
State: | KS |
Postal Code: | 677351602 |
Phone Number: | 7858903625 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | TMP 143228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |