Richard Jack Pope in Bountiful - Diagnostic Radiology
Richard Jack Pope - NPI 1053392613
Richard Jack Pope is a Diagnostic Radiology in Bountiful, Utah. Richard Jack Pope practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Richard Jack Pope is 1053392613. The last update date is 2011-02-15.
Richard Jack Pope's current location address is 630 Medical Dr, Bountiful, Utah. You can contact this provider via phone number 8012992200 and fax number 8012966199. The mailing address for Richard Jack Pope is 630 Medical Dr, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Jack Pope |
|---|---|
| Address | 630 Medical Dr, Bountiful, Utah |
| Phone Number | 8012992200 |
| Fax Number | 8012966199 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053392613 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2011-02-15 |
Provider Mailing Address Detail
| Address | 630 Medical Dr |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840104908 |
| Phone Number | 8012992200 |
| Fax Number | 8012966199 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 165029-1205 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6400 | UT | -- | |
| 351118 | UT | DESERET MUTUAL BENEFITS ADMINI | |
| 300083845 | UT | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Jack Pope by the Centers for Medicare & Medicaid Services (CMS)?
The Richard Jack Pope has been assigned the NPI (National Provider Identifier) 1053392613. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Richard Jack Pope's facilities are geographically located?
The facilities of Richard Jack Pope are physically situated at the following location: 630 Medical Dr, Bountiful, UT, 840104908.
What is the Richard Jack Pope's area of specialization and corresponding taxonomy classification?
The Richard Jack Pope's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Richard Jack Pope receive its 1053392613 assignment from the Centers for Medicare & Medicaid Services?
The Richard Jack Pope was assigned its 1053392613 by the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date was the information regarding Richard Jack Pope, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Jack Pope, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-02-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY