MEDICARE: DR. RICHARD STANLEY POPESKI MD

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	2084P0800X	Psychiatry Physician	11811	AZ
2	2084P0804X	Child & Adolescent Psychiatry Physician	11811	AZ

General Provider Information

NPI Number	:	1528288487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD STANLEY POPESKI MD

Provider Business Mailing Address
First Line	:	6375 E TANQUE VERDE RD
Second Line	:	#140
City	:	TUCSON
State	:	AZ
Zip	:	85715-3852
Country	:	US
Telephone Number	:	520-885-4679
Fax Number	:	520-296-9556

Provider Business Practice Location Address
First Line	:	6375 E TANQUE VERDE RD
Second Line	:	#140
City	:	TUCSON
State	:	AZ
Zip	:	85715-3852
Country	:	US
Telephone Number	:	520-885-4679
Fax Number	:	520-296-9556

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	09/11/2025

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