Provider Demographics
NPI:1861755985
Name:BURCH, CASSANDRA R (PA-C)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:R
Last Name:BURCH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6800 LAKE DR
Mailing Address - Street 2:STE 250
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2500
Mailing Address - Country:US
Mailing Address - Phone:515-875-9925
Mailing Address - Fax:515-875-9923
Practice Address - Street 1:1215 PLEASANT ST
Practice Address - Street 2:STE 608
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1416
Practice Address - Country:US
Practice Address - Phone:515-241-5760
Practice Address - Fax:515-241-8161
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
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Provider Licenses
StateLicense IDTaxonomies
IA002302363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant