IndividualActive
Wally Jean, MD
NPI 1346654167 · General Practice Physician · Poplar, MT
Provider details
- NPI number
- 1346654167
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19005 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
107 H St W
Poplar, MT 59255
Phone: (406) 768-3491
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 1582
Poplar, MT 59255
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2015-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.