Healthcare Provider Details

I. General information

NPI: 1619056181
Provider Name (Legal Business Name): ALAN FREDERICK ROPE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GATEWAY BLVD STE 380
SOUTH SAN FRANCISCO CA
94080-7420
US

IV. Provider business mailing address

701 GATEWAY BLVD STE 380
SOUTH SAN FRANCISCO CA
94080-7420
US

V. Phone/Fax

Practice location:
  • Phone: 877-688-0992
  • Fax:
Mailing address:
  • Phone: 877-688-0992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5312728-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberMD162096
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: