Individual
DR. MICHAEL J DEPASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10120 E OLD VAIL RD STE 100, TUCSON, AZ 85747-9414
(520) 989-8012
(520) 989-8014
Mailing address
10120 E OLD VAIL RD STE 100, TUCSON, AZ 85747-9414
(520) 989-8012
(520) 989-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847204
—
AZ
Enumeration date
12/02/2005
Last updated
01/27/2021
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