Doctor Name: | RICHARD JACK POPE |
NPI Number: | 1053392613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 165029-1205 |
Business Practice Address: | 630 Medical Dr Bountiful, UT - 840104908 |
Business Phone Number: | 8012992200 |
Business Fax Number: | 8012966199 |
Mailing Address: | 380 N 200 W, Suite 209 BOUNTIFUL |
State: | UT |
Postal Code: | 840107079 |
Phone Number: | 8012981300 |
Fax Number: | 8012966199 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 165029-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |