Individual
MR. JUSTIN POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
1907 CYPRESS CREEK RD STE 108, CEDAR PARK, TX 78613-4151
(512) 374-1876
(512) 371-8788
Mailing address
23080 HAMPTON CT, GRAND TERRACE, CA 92313-5342
(909) 835-0223
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
780786
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
119398
CA
Other
Enumeration date
08/22/2017
Last updated
09/07/2017
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