# DAVID A. DEPP, M.D. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700074077
- **Authorized official:** DR. DAVID A DEPP M.D. (OWNER)
- **Authorized official phone:** (225) 769-9631

## Contact information

- **Practice address:** 8032 SUMMA AVE, STE:D, BATON ROUGE, LA 70809-3478
- **Practice address phone:** (225) 769-9631
- **Practice address fax:** (225) 769-9602
- **Mailing address:** 8032 SUMMA AVE, STE:D, BATON ROUGE, LA 70809-3478
- **Mailing address phone:** (225) 769-9631
- **Mailing address fax:** (225) 769-9602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 010566 | LA | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 10/11/2007