| Dwayne R Depry Do Inc | |
|
1221 E Spruce Ave Fresno CA 93720 | |
| (559) 261-2799 | |
| (559) 261-2796 |
| Full Name | Dwayne R Depry Do Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1221 E Spruce Ave, Fresno, California |
| Authorized Official Name and Position | Dwayne R Depry (OWNER) |
| Authorized Official Contact | 5592612799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne R Depry Do Inc 1221 E Spruce Ave Fresno CA 93720 Ph: (559) 261-2799 | Dwayne R Depry Do Inc 1221 E Spruce Ave Fresno CA 93720 Ph: (559) 261-2799 |
| NPI Number | 1073703641 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073703641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A9403 (California) | Primary |
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