| Christopher R. Depner,m.d. | |
|
12 Martin St Wellsville NY 14895-1057 | |
| (585) 593-4250 | |
| (585) 593-2465 |
| Full Name | Christopher R. Depner,m.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Martin St, Wellsville, New York |
| Authorized Official Name and Position | Christopher R Depner (OWNER) |
| Authorized Official Contact | 5855934250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R. Depner,m.d. 12 Martin St Wellsville NY 14895-1057 Ph: (585) 593-4250 | Christopher R. Depner,m.d. 12 Martin St Wellsville NY 14895-1057 Ph: (585) 593-4250 |
| NPI Number | 1629098066 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629098066 | NPI | - | NPPES |
| 173875-1 | Other | NY | LICENSE |
| 01080175 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 173875-1 (New York) | Primary |
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