Individual
DR. RICHARD J DEPERSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7557A DANNAHER DR, SUITE 210, POWELL, TN 37849-3558
(865) 521-8050
(865) 544-5216
Mailing address
7557 DANNAHER WAY, SUITE 210, POWELL, TN 37849-3558
(865) 521-8050
(865) 544-5216
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
9089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710126
—
TN
Enumeration date
10/24/2006
Last updated
05/16/2014
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