Individual
GERALD DOUGLAS DEPOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1051876
—
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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