WALLY JEAN, MD, General Practice POPLAR, MT

Contact Information

WALLY JEAN, MD

107 H ST W
POPLAR, MT 59255

Phone: 406-768-3491
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for WALLY JEAN · (Male)

NPI #	`1346654167`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/19/2014
Last updated	12/31/2015 - About 10 years ago
Sole proprietor ¹	Yes
Identifiers	PR License # 19005
Hospital affiliation(s)	MESCALERO PHS INDIAN HOSPITAL - (Acute Care) P O BOX 210 MESCALERO, NM 88340

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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WALLY JEAN, MD – NPI #1346654167General Practice

Contact Information

Specialty

General Practice

NPI Profile & details for WALLY JEAN · (Male)

Reviews for WALLY JEAN

WALLY JEAN, MD – NPI #1346654167
General Practice