Individual
CHRISTOPHER P DEPALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2451 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-5791
(702) 425-8491
(702) 304-9495
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(702) 475-8400
(702) 475-5005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4434
AZ
207W00000X
Ophthalmology Physician
DE4130181
OH
207W00000X
Ophthalmology Physician
Primary
DO1810
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105738
—
AZ
05
—
1760438238
—
NV
Enumeration date
05/26/2006
Last updated
07/25/2024
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