Individual
NICHOLAS ANTHONY POPONEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(480) 325-3461
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(480) 325-3461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010622
AZ
207R00000X
Internal Medicine Physician
5101021107
MI
207R00000X
Internal Medicine Physician
T1811
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
010622
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
73690
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
93087
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
T1811
TX
207RP1001X
Pulmonary Disease Physician
010622
AZ
207RP1001X
Pulmonary Disease Physician
73690
WI
207RP1001X
Pulmonary Disease Physician
T1811
TX
Other
Enumeration date
04/28/2014
Last updated
07/27/2026
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