Search › Montana › 207RP1001X
Wallace Prophet, MD
NPI 1942294426 · on the registry since 2005
Practice
- Address
- 350 Heritage Way
Suite 2100
Kalispell, MT 59901 - Phone
- (406) 257-8992
- Fax
- (406) 755-4161
- Organisation at this address
- Jon J Johnson Md Pc
Ken L Jonas M D P C
Alan B Williams Md Pc
Urology Associates Pc
Urology Associates, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 207RP1001X
- Licence states on file
- AL, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana