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NPI Code Detail

MEDICARE: DR. RONALD L. POPE D.O.

MEDICARE: DR. RONALD L. 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
12084P0800XPsychiatry PhysicianOS003976LPA
2207Q00000XFamily Medicine PhysicianOS003976LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578528865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD L. POPE D.O.
Provider Business Mailing Address
First Line : 435 W 4TH ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6001
Country : US
Telephone Number : 215-327-4046
Fax Number :
Provider Business Practice Location Address
First Line : 435 W 4TH ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6001
Country : US
Telephone Number : 215-327-4046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 06/07/2016

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