Individual
MR. JOHN MARK POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1108 W US ROUTE 66, MORIARTY, NM 87035-1006
(505) 281-5180
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(505) 281-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-56162
NM
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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