Individual
NEAL R. POPICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
102 WEST 32ND ST., JOPLIN, MO 64804-0000
(417) 347-3659
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132744
MT
367500000X
Certified Registered Nurse Anesthetist
2012019388
MO
367500000X
Certified Registered Nurse Anesthetist
98776
WV
Other
Enumeration date
06/28/2012
Last updated
11/29/2018
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