MEDICARE: DR. ROSS E POPE D.O.

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
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	2226	OK

General Provider Information

NPI Number	:	1346277530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSS E POPE D.O.

Provider Business Mailing Address
First Line	:	6510 S WESTERN AVE
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1712
Country	:	US
Telephone Number	:	405-634-5400
Fax Number	:	405-634-5174

Provider Business Practice Location Address
First Line	:	6510 S WESTERN AVE
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1712
Country	:	US
Telephone Number	:	405-634-5400
Fax Number	:	405-634-5174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ROSS E POPE D.O.” Practice Location

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