Individual
DOUGLAS R POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 N COTNER BLVD, STE 205, LINCOLN, NE 68505-2310
(402) 467-4661
(402) 467-5006
Mailing address
PO BOX 5559, STE 205, LINCOLN, NE 68505-0559
(402) 467-4661
(402) 467-5006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14951
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01328
BCBS PROVIDER ID
NE
01
—
080075500
RAILROAD MC PROVIDER #
NE
01
—
14951
STATE LICENSE NUMBER
NE
05
—
47054632400
—
NE
Enumeration date
04/11/2006
Last updated
03/07/2023
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