Individual
DAVID SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 STEVENSVILLE CUTOFF RD, STEVENSVILLE, MT 59870-6496
(406) 444-7710
Mailing address
724 STODDARD ST APT 1, MISSOULA, MT 59802-2555
(406) 529-9727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHA-PIN-LIC-88925
MT
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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