Individual
MR. ROBERT TODD DEPOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 304, CHARLESTON, WV 25302-3302
(304) 388-1552
Mailing address
830 PENNSYLVANIA AVE, SUITE 304, CHARLESTON, WV 25302-3302
(304) 388-1552
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16935
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092833000
—
WV
Enumeration date
03/14/2006
Last updated
04/06/2022
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