Tyler Wagstaff

NPI #1205266053 in Kalispell, Montana

Provider Information

NPI Number: 1205266053
Entity Type: Individual
Name: Tyler Wagstaff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 14, 2013
Last Updated: May 31, 2023

Practice Location

Address: 160 HERITAGE WAY STE 202
City: Kalispell
State: Montana
ZIP Code: 59901-3127
Phone: (406) 752-8433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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