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Organization

HIGH COUNTRY LUNG & SLEEP DISORDERS CLINIC, PC

Active
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Organization

HIGH COUNTRY LUNG & SLEEP DISORDERS CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH JANES POPOVICH MD (OWNER)
(406) 782-8988
Entity
Organization

Contact information

Practice address
505 W PARK ST, SUITE A, BUTTE, MT 59701-9106
(406) 782-8988
(406) 782-3566
Mailing address
505 W PARK ST, SUITE A, BUTTE, MT 59701-9106
(406) 782-8988
(406) 782-3566

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000031
BLUE CROSS BLUE SHIELD
MT
05
0108375
MT
Enumeration date
12/06/2012
Last updated
06/10/2013
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