Individual provider · Type 1 NPI

Alan Edward Deissinger, PA

Medical Physician Assistant · Albuquerque, NM

NPI number 1679536585 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Call (505) 265-1711 Map

Mailing address

PO Box 111
Sandia Park, NM 87047-0111

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 81-005 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1679536585

Alan Edward Deissinger, PA's National Provider Identifier is 1679536585, issued on Apr 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.