Individual
DR. JONATHAN G. POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE 6221, DAYTON, OH 45409-2939
(937) 208-6630
(937) 208-6641
Mailing address
2200 PHILADELPHIA DR, SUITE 644, DAYTON, OH 45406-1840
(937) 278-6874
(937) 278-7201
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35.127256
OH
207RI0200X
Infectious Disease Physician
MD-425022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001637630
BLUE CROSS
PA
05
—
0150943
—
OH
05
—
1010996280001
—
PA
Enumeration date
08/01/2006
Last updated
10/02/2018
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