Christopher R. Depner,m.d. | |
12 Martin St Wellsville NY 14895-1057 | |
(585) 593-4250 | |
(585) 593-2465 |
Full Name | Christopher R. Depner,m.d. |
---|---|
Speciality | Family Medicine |
Location | 12 Martin St, Wellsville, New York |
Authorized Official Name and Position | Christopher R Depner (OWNER) |
Authorized Official Contact | 5855934250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Christopher R. Depner,m.d. 12 Martin St Wellsville NY 14895-1057 Ph: (585) 593-4250 | Christopher R. Depner,m.d. 12 Martin St Wellsville NY 14895-1057 Ph: (585) 593-4250 |
NPI Number | 1629098066 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629098066 | NPI | - | NPPES |
173875-1 | Other | NY | LICENSE |
01080175 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 173875-1 (New York) | Primary |
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David H Graham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 N Main St, Wellsville, NY 14895 Phone: 585-593-0400 | |
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