Wallace Dale Prophet, MD

NPI #1942294426 in Kalispell, Montana

Provider Information

NPI Number
1942294426
Entity Type
Individual
Name
Wallace Dale Prophet, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Pulmonary Disease
Credential
MD
Enumeration Date
Sep 9, 2005
Last Updated
Aug 22, 2017

Practice Location

Address
350 HERITAGE WAY
Address 2
SUITE 2100
State
Montana
ZIP Code
59901-3158
Phone
(406) 257-8992

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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