Doctor Name: | DAVID J POPE |
NPI Number: | 1053645978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110003156 |
Business Practice Address: | 15128 Stepping Stone Dr Haymarket, VA - 201693322 |
Business Phone Number: | 5713385469 |
Business Fax Number: | |
Mailing Address: | 15128 Stepping Stone Dr, HAYMARKET |
State: | VA |
Postal Code: | 201693322 |
Phone Number: | 5713385469 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2009 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110003156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |