Individual provider · Type 1 NPI

Jacob Wheeler, PA

Surgical Physician Assistant · Bozeman, MT

NPI number 1174973564 Active

Practice location

925 Highland Blvd Ste 1100
Bozeman, MT 59715-6900

Call (406) 414-4550 Map

Mailing address

915 Highland Blvd, Attn Pfs Credentialing
Bozeman, MT 59715-6902

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X79505 (MT)

Surgical Physician Assistant: Definition to come...

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About NPI 1174973564

Jacob Wheeler, PA's National Provider Identifier is 1174973564, issued on Jun 15, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bozeman, MT. The record was last updated on Jun 26, 2026.