Individual
WILLIAM J DEPASO
Active
Individual
WILLIAM J DEPASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00019966
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00019966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039574
LABOR & INDUSTRY
WA
05
—
1059963
—
WA
01
—
290013713
RAILROAD MEDICARE
—
01
—
6342DE
BLUE SHIELD
WA
01
—
MD0290W
ALASKA MEDICAID
WA
01
—
US4120442
AETNA/USHC SPECIALIST
WA
Enumeration date
07/04/2006
Last updated
05/26/2011
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