Dr. Richard J Depersio
Plastic Surgeon (Head & Neck)
7557a Dannaher Dr Suite 210
Powell
, Tennessee 37849-3558
Dr. Richard J Depersio
Plastic Surgeon (Head & Neck)
7557a Dannaher Dr Suite 210
Powell
, Tennessee 37849-3558
(865) 544-5216
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Richard J Depersio
- 7557 Dannaher Way Suite 210
- Powell, TN
- Zip : 37849-3558
- Fax : (865) 544-5216
- Phone : (865) 521-8050
Second Address
- Dr. Richard J Depersio
- 7557a Dannaher Dr Suite 210
- Powell, TN
- Zip : 37849-3558
- Fax : (865) 544-5216
- Phone : (865) 521-8050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 9089 | TN |
National Provider Identifier
| NPI | 1457435794 |
|---|---|
| Provider Name | Dr. Richard J Depersio |
| First Address | Powell, TN 37849-3558 |
| Second Address | Powell, TN 37849-3558 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 16/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3710126 | (05) | TN |
| B03893 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.