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1487677571
MICHAEL H DEPREST
ALBUQUERQUE, NM
NPI
1487677571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM 93-36)
Enumeration Date
2006-07-26
Last Update Date
2014-01-29
Business Address
MICHAEL H DEPREST MD
PMG URGENT CARE 5901 HARPER DRIVE NE
ALBUQUERQUE, NM 87109
Phone number: 505-823-8519
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Mailing Address
MICHAEL H DEPREST MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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