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Individual
DR. STANLEY T DEPMAN
Active
Individual
DR. STANLEY T DEPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD033216E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058417000
KEYSTONE
PA
05
—
01011636539
—
PA
01
—
0163653904
AMERICHOICE
PA
01
—
080162557
RR MEDICARE
PA
01
—
081201
BLUE SHIELD
PA
01
—
1066839
KEYSTONE MERCY
PA
01
—
5829300
AETNA
PA
01
—
P2676083
OXFORD
—
Enumeration date
08/31/2005
Last updated
05/23/2014
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