Provider Demographics
NPI:1528288487
Name:POPESKI, RICHARD STANLEY (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STANLEY
Last Name:POPESKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 E TANQUE VERDE RD
Mailing Address - Street 2:#140
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3852
Mailing Address - Country:US
Mailing Address - Phone:520-885-4679
Mailing Address - Fax:520-296-9556
Practice Address - Street 1:6375 E TANQUE VERDE RD
Practice Address - Street 2:#140
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3852
Practice Address - Country:US
Practice Address - Phone:520-885-4679
Practice Address - Fax:520-296-9556
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ118112084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry