Individual
DR. KEITH J POPOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 W PARK ST, SUITE A, BUTTE, MT 59701-9106
(406) 782-8988
(406) 782-6243
Mailing address
505 W PARK ST, SUITE A, BUTTE, MT 59701-9106
(406) 782-8988
(406) 782-6243
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
6636
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000031
BLUE CROSS BLUE SHEILD
MT
05
—
0108375
—
MT
05
—
9989135
—
MT
Enumeration date
07/06/2006
Last updated
07/14/2010
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