Individual
MS. MARY JO DEPREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006-2502
(602) 521-3700
Mailing address
925 E. MCDOWELL RD, PHOENIX, AZ 85006
(414) 460-4514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8290
AZ
363L00000X
Nurse Practitioner
8290
AZ
Other
Enumeration date
03/31/2020
Last updated
10/03/2024
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