Individual
DR. ZACHARY SCOTT DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5618
NE
207RP1001X
Pulmonary Disease Physician
Primary
27790
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27790
LICENSE
NE
05
—
ENROLLED
—
MN
Enumeration date
06/25/2007
Last updated
04/10/2018
Update your record
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