Individual provider · Type 1 NPI
Mark Wilson, DC
Chiropractor · Missoula, MT
NPI number
1700950771
Active
Practice location
2300 Great Northern Ave Ste B
Missoula, MT 59808-1726
Fax (406) 549-9151
Mailing address
2801 Great Northern Loop
Missoula, MT 59808-1745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 826 (MT) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1700950771
Mark Wilson, DC's National Provider Identifier is 1700950771, issued on Nov 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Missoula, MT. The record was last updated on Nov 1, 2016.