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Allan R Supak, MD
Family Medicine Physician in Livingston, Montana
NPI 1649388497

Allan R Supak is a Family Medicine Physician based in Livingston, MT. Allan R Supak practices in Livingston, MT and has the professional credentials of MD. The NPI Number for Allan R Supak is 1649388497 and holds a License No. 8521 (Montana).

The current practice location address for Allan R Supak is 320 Alpenglow Lane, Livingston, MT and can be reached out via phone at 406-823-6414 and via fax at 406-823-6287.

Location: 320 Alpenglow Lane, Livingston, MT, 59047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649388497
Provider Name
Allan R Supak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 Alpenglow Lane, Livingston, MT, 59047
Phone Number
406-823-6414
Fax Number
406-823-6287
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0014110 05 MT
000018171 01 MT BLUECROSSBLUESHIELD
institution
Provider Business Practice Location Address Details
Address
320 Alpenglow Lane
City
Livingston
State
Montana
Zip
59047
Phone Number
406-823-6414
Fax Number
406-823-6287
person
Provider Business Mailing Address Details
Address
320 Alpenglow Lane
City
Livingston
State
Montana
Zip
59047
Phone Number
406-823-6414
Fax Number
406-823-6287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
8521 (Montana)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
8521 (Montana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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