Tyler Wagstaff
Tyler Wagstaff is a Surgical Physician Assistant in Kalispell, Montana. Licensed in Idaho and Montana. Registered with an NPI since 2013.
- Licensed in
- ID, MT
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
160 Heritage Way Ste 202Kalispell, MT 59901-3127
Phone: (406) 752-8433
Fax: (406) 756-6768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence MED-PAC-LIC-79860 (MT) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA1227 (ID) |
Record details
| NPI number | 1205266053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 14, 2013 |
| Last updated in NPPES | May 31, 2023 |
| Certification date | May 31, 2023 |
| Mailing address | 350 Heritage Way Ste 2100, Kalispell, MT 59901-3167 |
Other providers in Kalispell
-
Brianne Peltz, PA
202 Conway Dr Ste 200, Kalispell, MT 59901-3153 · (720) 848-0000
-
Tracy Edward Rogers, PA-C
202 Conway Dr Ste 200, Kalispell, MT 59901-3153 · (406) 751-4189
-
Samantha J Short, PAC
350 Heritage Way Ste 2100, Kalispell, MT 59901-3158 · (406) 257-8992
-
Steven Craig Trimble, PA-C
111 Sunnyview Ln, Kalispell, MT 59901-3164 · (406) 752-7900