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Dimitri Boreisha, DO

Psychiatry & Neurology, Psychiatry in Des Moines, IA. Individual provider (NPI-1).

NPI number1164081584
StatusActive
Last updated in NPPESJun 10, 2019

Details

NPI
1164081584
Entity type
Individual (NPI-1)
Name
Dimitri Boreisha
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2019
Last updated
Jun 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryR-11655IAYes

Other names

  • Dmytro Boreisha (Other Name)

Practice location

1111 6th Ave
Des Moines, IA 50314-2613

Phone 515-643-2682 · Fax 515-643-5802

Mailing address

Po Box 1475
Des Moines, IA 50305-1475

Phone 515-643-2682 · Fax 515-643-5802

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