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Individual

DOUGLAS W POPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
9250 N. 3RD STREET, SUITE 3010, PHOENIX, AZ 85020-2412
(602) 861-1168
(602) 861-1763
Mailing address
DEPT 8511, LOS ANGELES, CA 90084-8511
(602) 861-1168
(602) 678-6723

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP1932
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN075687
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212690
AZ
Enumeration date
03/21/2007
Last updated
11/15/2022
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