Individual
MARY CANDACE DEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
(870) 425-6212
(866) 689-4817
Mailing address
899 BURNETT DR, MOUNTAIN HOME, AR 72653-2909
(870) 425-6212
(866) 689-4817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-13094
AR
Other
Enumeration date
06/07/2017
Last updated
08/25/2021
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