Individual
JAMIE DEPPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2222 W GLENDALE AVE, PHOENIX, AZ 85021-7769
(602) 920-2535
(623) 536-1638
Mailing address
2222 W GLENDALE AVE, PHOENIX, AZ 85021-7769
(602) 920-2535
(623) 536-1638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-01983P
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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