Whalio Doctors

NPI 1346654167

Wally Jean, MD

Practitioner General Practice Physician Poplar, MT

Practice location

Address
107 H St W, Poplar, MT 59255
Phone
(406) 768-3491
Mailing address
P.O. Box 1582, Poplar, MT 59255

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 19005 (PR)

Registry record

NPI
1346654167
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jun 2014
Record last updated
31 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.