Individual
MARK HOWARD DEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8020 CONSTITUTION PL NE, #101, ALBUQUERQUE, NM 87110-7607
(505) 998-1317
(505) 998-1308
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
94231
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18183
—
NM
05
—
197956
—
AZ
Enumeration date
02/27/2006
Last updated
04/23/2025
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