Individual
DR. ZACHARY SCOTT DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7710 MERCY RD STE 3000, OMAHA, NE 68124-2350
(402) 717-9600
(402) 717-6014
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
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
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