IndividualActive
David Wilson
NPI 1346137668 · Student in an Organized Health Care Education/Training Program · Stevensville, MT
Provider details
- NPI number
- 1346137668
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- PHA-PIN-LIC-88925 (MT)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense PHA-PIN-LIC-88925 (MT)
Student, Health Care
Practice location
39 Stevensville Cutoff Rd
Stevensville, MT 59870-6496
Phone: (406) 444-7710
Approximate (ZIP-level) locationGet directions
Mailing address
724 Stoddard St Apt 1
Missoula, MT 59802-2555
Registry dates
- Enumerated
- 2025-06-19
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.