Organization
THRIVE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON EDWARD POPE MD (OWNER)
(415) 599-4485
Entity
Organization
Contact information
Practice address
421 MARCH AVE STE B, HEALDSBURG, CA 95448-3367
(415) 599-4485
Mailing address
421 MARCH AVE STE B, HEALDSBURG, CA 95448-3367
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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