Healthcare Provider Details

I. General information

NPI: 1578829404
Provider Name (Legal Business Name): AARON PAUL BESSMER D.V.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 04/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 MORNINGSIDE AVE
SIOUX CITY IA
51106-3923
US

IV. Provider business mailing address

6003 MORNINGSIDE AVE
SIOUX CITY IA
51106-3923
US

V. Phone/Fax

Practice location:
  • Phone: 712-276-5368
  • Fax: 712-274-7961
Mailing address:
  • Phone: 712-276-5368
  • Fax: 712-274-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number7327
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: