Individual
JOHN L POMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S 11TH ST # 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
PO BOX 8500-1776, PHILADELPHIA, PA 19178-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-246719-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
038533
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0448668
FIRST PRIORITY
PA
01
—
1585157
GATEWAY
PA
01
—
2000104
KHP CENTRAL
PA
01
—
50026737
CAPITAL ADVANTAGE
PA
01
—
728009000
IBC
PA
01
—
84347
GEISINGER
PA
01
—
9532437
AETNA
PA
Enumeration date
06/27/2005
Last updated
03/13/2015
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