Individual
DWAYNE R DEPRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1221 E SPRUCE AVE, FRESNO, CA 93720
(559) 261-2799
(559) 261-2796
Mailing address
1221 E SPRUCE AVE, FRESNO, CA 93720
(559) 261-2799
(559) 261-2796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A9403
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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