Jeremiah J Depue M.D.

NPI 1093864795 - Anesthesiology - 207L00000X

NPI Details
NPI 1093864795
Gender Male
Enumeration Date 01/10/2007
Last Updated 09/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
8008 WESTPARK DR
KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER
MC LEAN VA, 22102-3109, US
Phone (703) 287-6400
Fax
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Virginia
License Number 0101242180
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According to our database, Dr. Jeremiah J Depue M.D. NPI is 1093864795, taxonomy code is 207L00000X and license number is 0101242180, license state is located at Virginia. Jeremiah J Depue M.D. physically located at 8008 Westpark Dr, Mc Lean VA, 22102-3109. NPI Number Jeremiah J Depue M.D. has the Individual type.

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1093864795 NPI number is provided on an as is basis without warranty of any kind. 1093864795 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremiah J Depue M.D. are for informational purposes only.