Provider Demographics
NPI:1346277530
Name:POPE, ROSS E (DO)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:E
Last Name:POPE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:6510 S WESTERN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1712
Mailing Address - Country:US
Mailing Address - Phone:405-634-5400
Mailing Address - Fax:405-634-5174
Practice Address - Street 1:6510 S WESTERN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1712
Practice Address - Country:US
Practice Address - Phone:405-634-5400
Practice Address - Fax:405-634-5174
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK2226204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE15999Medicare UPIN