Organization
CHRISTOPHER R. DEPNER,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R DEPNER M.D. (OWNER)
(585) 593-4250
Entity
Organization
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-4250
(585) 593-2465
Mailing address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-4250
(585) 593-2465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173875-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01080175
—
NY
01
—
173875-1
LICENSE
NY
Enumeration date
07/20/2006
Last updated
08/22/2020
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