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NPI Code Detail

MEDICARE: DR. WESLEY EDWARD POPE M.D.

MEDICARE: DR. WESLEY EDWARD POPE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician17440OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2400522066OTHEROKMEDICARE GROUP NO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OK17440OTHEROKSTATE LICENSE NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
422654OTHEROKOKLAHOMA BUREAU OF NARCOTICS NUMBER

General Provider Information

NPI Number : 1881606002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESLEY EDWARD POPE M.D.
Provider Business Mailing Address
First Line : PO BOX 892398
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73189-2398
Country : US
Telephone Number : 405-387-4546
Fax Number : 405-387-4551
Provider Business Practice Location Address
First Line : 2818 NW 32ND ST
Second Line :
City : NEWCASTLE
State : OK
Zip : 73065-6576
Country : US
Telephone Number : 405-387-4546
Fax Number : 405-387-4551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 03/07/2023

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