Individual
WARD S DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 FORT MISSOULA RD, SUITE 317C, MISSOULA, MT 59804-7420
(406) 728-5428
(406) 728-5458
Mailing address
2825 FORT MISSOULA RD, SUITE 317C, MISSOULA, MT 59804-7420
(406) 728-5428
(406) 728-5458
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
7276
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042296
—
MT
Enumeration date
08/26/2006
Last updated
07/08/2007
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