Pope, Richard Jack

Pope, Richard Jack is an individual health care provider with primary practice located at 630 Medical Dr , Bountiful UT 84010-4908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pope, Richard Jack can be contacted via phone (801) 299-2200.

Contact Information

Primary practice address
630 Medical Dr Bountiful UT 84010-4908
Phone: (801) 299-2200
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 165029-1205 Utah

Profile Details

NPI number 1053392613
LBN Legal business name Pope, Richard Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Feb 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053392613 NPPES
Utah MEDICAID 06400
Utah Other 351118
Utah Other 300083845

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