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Individual
MR. NICHOLAS JAMES POPCHAK
Active
Individual
MR. NICHOLAS JAMES POPCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052835
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000981948
MEDICAL ASSISTANCE GROUP
PA
01
—
1568304
GATEWAY HEALTH PLAN
PA
01
—
2048193
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/20/2006
Last updated
07/26/2012
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