Individual
DR. THOMAS A. DEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 V ST, NEPHROLOGY DIVISION #3500 PSSB, SACRAMENTO, CA 95817-1460
(916) 734-3014
(916) 734-7920
Mailing address
4150 V ST, NEPHROLOGY DIVISION #3500 PSSB, SACRAMENTO, CA 95817-1460
(916) 734-3014
(916) 734-7920
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G025912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G025912
MEDICAL LICENSE
CA
Enumeration date
12/07/2005
Last updated
07/20/2007
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