Healthcare Provider Details

I. General information

NPI: 1326931551
Provider Name (Legal Business Name): TRESSA LEE ASBURY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S PLEASANT HILL BLVD
DES MOINES IA
50327-1854
US

IV. Provider business mailing address

407 SW 32ND ST
ANKENY IA
50023-9225
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5008
  • Fax:
Mailing address:
  • Phone: 417-527-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR-13427
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: