IndividualActive
Allan Supak, MD
NPI 1649388497 · Family Medicine Physician · Livingston, MT
Provider details
- NPI number
- 1649388497
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 8521 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
320 Alpenglow Lane
Livingston, MT 59047
Phone: (406) 823-6414
Fax: (406) 823-6287
Approximate (ZIP-level) locationGet directions
Mailing address
320 Alpenglow Lane
Livingston, MT 59047
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2015-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.