NPI 1316861255

John Isackson Wallace

Practitioner Case Manager/Care Coordinator Missoula, MT

Practice location

Address: 913 SW Higgins Ave STE 201, Missoula, MT 59803-1423
Phone: (406) 396-3887

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1316861255
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2026
Record last updated: 5 Aug 2026

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.