Whalio Doctors

NPI 1063459824

Wayne L. Davis, MD

Practitioner Diagnostic Radiology Physician Missoula, MT

Practice location

Address
500 W Broadway St, Missoula, MT 59802-4003
Phone
(406) 543-7271
Mailing address
3205 S Russell St, Missoula, MT 59801-8536

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 7721 (MT)
Neuroradiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085N0700X Licence 7721 (MT)

Registry record

NPI
1063459824
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2006
Record last updated
24 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.