Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLY JEAN, MD
Active Sole ProprietorWALLY JEAN, MD is a General Practice healthcare provider located in POPLAR, Montana. NPI 1346654167 is currently active in the NPPES registry. Verify at CMS.
General Practice · POPLAR, MT
Registration Details
- NPI Number
- 1346654167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2014 (12.128808867344 yrs)
- Last Updated
- Dec 31, 2015
- License
-
19005 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 H ST WPOPLAR, MT, 59255Browse MT providers · Browse ZIP 59255
- Phone
- 4067683491
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in POPLAR, MT
| Name | Credential | NPI |
|---|---|---|
| RAY R LABOY ESPADA | M.D. | 1124066741 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.