Individual
JOSEPH PERRY POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST, BLDG B, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST, BLDG B, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-359
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002
CIMMARON SALUD
NM
05
—
18628
—
NM
01
—
23819
PRESBYTERIAN SALUD
NJ
01
—
23819
PRESBYTERIAN
NM
01
—
3861
LOVELACE
NM
01
—
NM003000
BLUE CROSS/BLUE SHIELD
NM
Enumeration date
05/23/2005
Last updated
04/20/2008
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