Provider Demographics
NPI:1346458197
Name:POPPE RIES, ANGELA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:POPPE RIES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 ORION DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-0922
Mailing Address - Country:US
Mailing Address - Phone:199-622-4335
Mailing Address - Fax:
Practice Address - Street 1:1414 S 324TH ST STE B207
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8444
Practice Address - Country:US
Practice Address - Phone:253-220-3121
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU7136207R00000X
MA1021436207R00000X
WAMD61346698207R00000X
AZ71678207R00000X
NC2024-03389207R00000X
GA100816207R00000X
CODR.0059884207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine