JACOB THOMAS DEPOLO

KNOXVILLE, TN
NPI1972000800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: TN  64086)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-08
Last Update Date2024-08-22
Business Address
JACOB THOMAS DEPOLO MD
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916-1810
Phone number: 865-766-6870
Mailing Address
JACOB THOMAS DEPOLO MD
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916-1810
Phone number: 865-766-6870