person
Gerald Douglas Depold
Medical Physician Assistant in Fort Bragg, North Carolina
NPI 1245217900

Gerald Douglas Depold is a Medical Physician Assistant based in Fort Bragg, NC and is specialized in Medical. Gerald Douglas Depold practices in Fort Bragg, NC. The NPI Number for Gerald Douglas Depold is 1245217900 and holds a License No. 1051876 (North Carolina).

The current practice location address for Gerald Douglas Depold is 2817 Reilly Rd, Fort Bragg, NC and can be reached out via phone at 910-907-8922 and via fax at 910-907-6069.

Location: 2817 Reilly Rd, Fort Bragg, NC, 28310-7324
person
Provider Profile Details
NPI Number
1245217900
Provider Name
Gerald Douglas Depold
Credential
Provider Entity Type
Individual
Gender
Male
Address
2817 Reilly Rd, Fort Bragg, NC, 28310-7324
Phone Number
910-907-8922
Fax Number
910-907-6069
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2817 Reilly Rd
City
State
Zip
28310-7324
Phone Number
910-907-8922
Fax Number
910-907-6069
person
Provider Business Mailing Address Details
Address
2817 Reilly Rd
City
State
Zip
28310-7324
Phone Number
910-907-8922
Fax Number
910-907-6069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1051876 ()
Definition
Definition to come...
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