Wallace Dale Prophet is a Pulmonary Disease Physician based in Kalispell, MT and is specialized in Pulmonary Disease. Wallace Dale Prophet practices in Kalispell, MT and has the professional credentials of MD. The NPI Number for Wallace Dale Prophet is 1942294426 and holds a License No. 9734 (Montana).
The current practice location address for Wallace Dale Prophet is 350 Heritage Way, Kalispell, MT and can be reached out via phone at 406-257-8992 and via fax at 406-755-4161. You can also correspond with Wallace Dale Prophet through the mailing address at 350 HERITAGE WAY, KALISPELL, MT - 59901-3158 (mailing address contact number: 406-257-8992).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000012909 | 05 | AL | |
| 00284468A | 05 | GA | |
| 068414700 | 05 | FL |
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