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WALLACE DALE PROPHET MD
NPI 1942294426
Internal Medicine - Pulmonary Disease in Kalispell, MT

Active since September 09, 2005
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901(406) 257-8992(406) 755-4161 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallace Dale Prophet Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE DALE PROPHET MD (NPI 1942294426) is an individual pulmonary disease provider in Kalispell, Montana, licensed in Montana (49643) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1942294426
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameWALLACE DALE PROPHETCredential: MD
Location Address350 HERITAGE WAY, SUITE 2100Kalispell, MT 59901-3158
Mailing Address350 Heritage Way, Suite 2100Kalispell, MT 59901-3158 · (406) 257-8992 · Fax (406) 755-4161
Phone(406) 257-8992
Fax(406) 755-4161
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateAugust 22, 2017
✔ NPI 1942294426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in MT · 49643✔ Licensed in AL · 9734
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 lungs.
350 HERITAGE WAY, Kalispell, MT 59901
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Other Identifiers 5

Medicare UPINC75994AL
Medicaid068414700FL
Medicaid000012909AL
Medicaid00284468AGA
Medicare ID-Type Unspecified000012909AL · Medicare Provider #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARLEY KURT THORDERSON MD
Orthopaedic Surgery (Hand Surgery)
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901
Flathead County (406) 752-6784
RAYMOND TABO SAITO PA
Physician Assistant
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901
Flathead County (406) 752-6784
NATHANIEL LYLE HALL M.D.
Internal Medicine (Interventional Cardiology)
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Flathead County (406) 257-8992
DR. DREW L. KIRSHNER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
350 HERITAGE WAY, STE 2100
KALISPELL, MT 59901
Flathead County (406) 257-8992
ALYSSA M. STONE PA-C
Physician Assistant
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Flathead County (406) 257-8992
NORTHWEST MONTANA PULMONARY PHYSICIANS PC
Internal Medicine (Pulmonary Disease)
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Flathead County (406) 257-8992
DR. WILLIAM M BOEHME MD
Internal Medicine (Hematology & Oncology)
350 HERITAGE WAY, SUITE 1100
KALISPELL, MT 59901
Flathead County (406) 752-8900
MS. JULIE C PONTI PA-C
Physician Assistant (Medical)
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901
Flathead County (406) 752-6784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Prophet's NPI number?

The NPI number for Wallace Prophet is 1942294426. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Wallace Prophet located?

Wallace Prophet practices at 350 Heritage Way Suite 2100, Kalispell, MT 59901. The listed phone number is (406) 257-8992.

What is Wallace Prophet's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Wallace Prophet was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.