NPI 1700846664

Mary Anne Depaz, MD

Practitioner Radiation Oncology Physician Decatur, IL

Practice location

Address: 210 W. McKinley Ave STE 2, Decatur, IL 62526
Phone: (217) 876-6600
Fax: (217) 876-6606
Mailing address: 210 W. McKinley Ave STE 1, Decatur, IL 62526

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence 036-101577 (IL)

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Registry record

NPI: 1700846664
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 26 Feb 2019

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.