Gerard John Depersio M.D.

NPI 1013925346 - Anesthesiology - 207L00000X

NPI Details
NPI 1013925346
Gender Male
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 W LA PALMA AVE
ANAHEIM CA, 92801-2804, US
Phone (714) 999-3828
Fax (714) 999-3907
Business Location
500 S MAIN ST
1210
ORANGE CA, 92868-4507, US
Phone (714) 560-1580
Fax (714) 560-1585
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number C30811
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According to our database, Gerard John Depersio M.D. NPI is 1013925346, taxonomy code is 207L00000X and license number is C30811, license state is located at California. Gerard John Depersio M.D. physically located at 1111 W La Palma Ave, Anaheim CA, 92801-2804. NPI Number Gerard John Depersio M.D. has the Individual type.

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1013925346 NPI number is provided on an as is basis without warranty of any kind. 1013925346 is maintained by the National Plan & Provider Enumeration System. The contents of Gerard John Depersio M.D. are for informational purposes only.