MARK WRAY KORMAN NPI 1588007959

NPI Information

NPI: 1588007959
Provider Name: MARK WRAY KORMAN
Classification: Specialist/Technologist, Pathology - 246QM0706X
Entity Type: Individual

Specialization: Medical Technologist

Address:
107 H STREET EAST
POPLAR, MT
ZIP 59255
Phone: (406) 768-3491
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Mark Wray Korman is a medical technologist specialist technologist pathology in Poplar, MT. Mark Wray Korman NPI is 1588007959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

107 H STREET EAST
POPLAR, MT
ZIP 59255-067
Phone: (406) 768-3491
Fax: (406) 768-5109

The enumeration date for this NPI number is 4/16/2013 and was last updated on 4/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QM0706X	Specialist/Technologist, Pathology	Medical Technologist	958	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WV-958	OTHER	WEST VIRGINIA	LICENSE
2	9990118	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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