Provider Demographics
NPI:1235541095
Name:POP, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:POP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 E UNION HILLS DR
Mailing Address - Street 2:#1005
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-3035
Mailing Address - Country:US
Mailing Address - Phone:602-292-9032
Mailing Address - Fax:
Practice Address - Street 1:1717 E UNION HILLS DR
Practice Address - Street 2:#1005
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-3035
Practice Address - Country:US
Practice Address - Phone:480-201-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program