Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER WAGSTAFF
ActiveTYLER WAGSTAFF is a Physician Assistant healthcare provider located in KALISPELL, Montana. NPI 1205266053 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KALISPELL, MT
Registration Details
- NPI Number
- 1205266053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2013 (12.768573354459 yrs)
- Last Updated
- May 31, 2023
- Licenses
-
PA1227 (ID)MED-PAC-LIC-79860 (MT)
Practice Information
- Address
-
160 HERITAGE WAY STE 202KALISPELL, MT, 599013127Browse MT providers · Browse ZIP 59901
- Phone
- 4067528433
- Fax
- 4067566768
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in KALISPELL, MT
| Name | Credential | NPI |
|---|---|---|
| LAURA JO BARKER | PA-C, RD | 1720058365 |
| MRS. STEPHANIE R RITARI | P.A. | 1730157447 |
| MR. ROBERT J GRIFFIN | PAC | 1588632236 |
| CHRISTOPHER S ROST | PA-C | 1457305898 |
| KATHLEEN WHITE WILSON | PA-C | 1578518692 |
| DIRK GILLETTE | PA | 1508805920 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.