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Contact Information

RICHARD J DEPERSIO, MD
7557A DANNAHER DR
SUITE 210
POWELL, TN37849-3558
 Phone: 865-521-8050
 Fax: 865-544-5216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RICHARD J DEPERSIO · (Male)

NPI Number 1457435794
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 05/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 9089
  • TN Medicaid 3710126
Hospital affiliation(s)
  • TENNOVA HEALTHCARE - (Acute Care)
    900 EAST OAK HILL AVENUE
    KNOXVILLE, TN 37917
  • UNIVERSITY OF TN MEMORIAL HOSPITAL - (Acute Care)
    1924 ALCOA HIGHWAY
    KNOXVILLE, TN 37920
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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