Michael J Depenbusch
Ophthalmologist
1500 W Ray Rd Ste 1
Chandler
, Arizona 85224-0002
Michael J Depenbusch
Ophthalmologist
1500 W Ray Rd Ste 1
Chandler
, Arizona 85224-0002
(480) 899-8610
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Michael J Depenbusch
- 1500 W Ray Rd Ste 1
- Chandler, AZ
- Zip : 85224-0002
- Fax : (480) 899-8610
- Phone : (480) 963-3881
Second Address
- Michael J Depenbusch
- 1500 W Ray Rd Ste 1
- Chandler, AZ
- Zip : 85224-0002
- Fax : (480) 899-8610
- Phone : (480) 963-3881
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 30795 | AZ |
National Provider Identifier
| NPI | 1003897794 |
|---|---|
| Provider Name | Michael J Depenbusch |
| First Address | Chandler, AZ 85224-0002 |
| Second Address | Chandler, AZ 85224-0002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 07/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BD5433468 | DEA (01) | AZ |
| G48777 | (02) | AZ |
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.