Davis, Wayne L.

Davis, Wayne L. is an individual health care provider with primary practice located at 500 W Broadway St , Missoula MT 59802-4003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Davis, Wayne L. can be contacted via phone (406) 543-7271.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802-4003
Phone: (406) 543-7271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 7721 Montana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7721 Montana

Profile Details

NPI number 1063459824
LBN Legal business name Davis, Wayne L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jan 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063459824 NPPES
Montana MEDICAID 0011466

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