Individual provider · Type 1 NPI

Adam Daniel Depue, PA-C

Surgical Physician Assistant · Lincoln, NE

NPI number 1578825113 Active

Practice location

2222 S 16th St, Ste 305
Lincoln, NE 68502-3762

Fax (402) 483-8787

Mailing address

2222 S 16th Street, Ste 305
Lincoln, NE 68502-3762

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1661 (NE)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1578825113

Adam Daniel Depue, PA-C's National Provider Identifier is 1578825113, issued on Jun 11, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lincoln, NE. The record was last updated on Sep 17, 2016.