NPI 1588007959

Mark Wray Korman

Practitioner Medical Technologist Poplar, MT

Practice location

Address: 107 H Street East, Poplar, MT 59255-0067
Phone: (406) 768-3491
Fax: (406) 768-5109
Mailing address: PO Box 67 107 H Street East, Poplar, MT 59201-0067

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 958 (WV)

Other Specialist/Technologist, Pathology providers in Montana →

Registry record

NPI: 1588007959
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2013
Record last updated: 17 Apr 2013

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.