Provider Demographics
NPI:1851817407
Name:POPE, JORDEN DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:JORDEN
Middle Name:DANIEL
Last Name:POPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-715-5300
Mailing Address - Fax:405-715-5350
Practice Address - Street 1:2916 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3233
Practice Address - Country:US
Practice Address - Phone:405-715-5300
Practice Address - Fax:405-715-5350
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2024-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK8432207Q00000X
NY309238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine