NPI 1013215896

Michael Jon Depersis, DO

Practitioner Internal Medicine Physician Sayre, PA

Practice location

Address: 1 Guthrie Square Guthrie Medical Group, Sayre, PA 18840-1625
Phone: (570) 888-5858
Mailing address: 1 Guthrie Sq Guthrie Medical Group, Sayre, PA 18840-1625

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 278632 (NY)

Other Internal Medicine providers in Pennsylvania →

Registry record

NPI: 1013215896
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2011
Record last updated: 26 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.