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Individual

DANIEL J DEPNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
309 E FARWELL RD, STE 204, SPOKANE, WA 99218-8207
(509) 879-0039
(509) 466-4798
Mailing address
5011 W ALCOTT CT, SPOKANE, WA 99208-9141
(509) 879-0039
(509) 466-4798

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001774
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8404352
WA
Enumeration date
09/25/2006
Last updated
12/09/2015
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