Diane L Dejong, PHYSICIANASSISTANT
Diane L Dejong, PHYSICIANASSISTANT is a Medical Physician Assistant in Sully, Iowa. Works from 2 locations. Licensed in Iowa.
- Licensed in
- IA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
704 3rd StSully, IA 50251-1016
Phone: (641) 594-3150
Fax: (641) 594-3795
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 405 Monroe St, Pella, IA 50219-1189 — (641) 621-2200
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 001494 (IA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 001494 (IA) |
Record details
| NPI number | 1124008354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | January 23, 2006 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |