Wallace Dale Prophet in Kalispell - Pulmonary Disease
Wallace Dale Prophet - NPI 1942294426
Wallace Dale Prophet is a Pulmonary Disease in Kalispell, Montana. Wallace Dale Prophet practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Wallace Dale Prophet is 1942294426. The last update date is 2017-08-22.
Wallace Dale Prophet's current location address is 350 Heritage Way, Kalispell, Montana. You can contact this provider via phone number 4062578992 and fax number 4067554161. The mailing address for Wallace Dale Prophet is 350 Heritage Way, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Dale Prophet |
|---|---|
| Address | 350 Heritage Way, Kalispell, Montana |
| Phone Number | 4062578992 |
| Fax Number | 4067554161 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942294426 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2017-08-22 |
Provider Mailing Address Detail
| Address | 350 Heritage Way |
|---|---|
| City | Kalispell |
| State | Montana (MT) |
| Post Code | 599013158 |
| Phone Number | 4062578992 |
| Fax Number | 4067554161 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 9734 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12909 | AL | -- | |
| 00284468A | GA | -- | |
| 68414700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wallace Dale Prophet?
The Wallace Dale Prophet has been issued the NPI (National Provider Identifier) 1942294426 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Wallace Dale Prophet?
The Wallace Dale Prophet is situated at 350 Heritage Way, in the city of Kalispell, state of MT, with the zip code 599013158.
What is the area of specialization for Wallace Dale Prophet, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Dale Prophet is Pulmonary Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rp1001X.
On what date did the Wallace Dale Prophet receive the assignment of its 1942294426 from the Centers for Medicare & Medicaid Services?
The Wallace Dale Prophet was issued its 1942294426 by the Centers for Medicare & Medicaid Services on 2005-09-09.
As of what date were the Wallace Dale Prophet's details last updated?
The information pertaining to the Wallace Dale Prophet, including its address, specialty, and other details, was most recently updated on 2017-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC