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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONNER J BURCK, PA-C

Active Sole Proprietor

CONNER J BURCK, PA-C is a Surgical Physician Assistant healthcare provider located in MISSOULA, Montana. NPI 1134745664 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MISSOULA, MT

Registration Details

NPI Number
1134745664
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2020 (6.1700437711768 yrs)
Last Updated
Feb 21, 2023
Licenses
PA61100789 (WA)
MED-PAC-LIC-115542 (MT)
Sole Proprietor
Yes

Practice Information

Address
500 W BROADWAY ST STE 320
MISSOULA, MT, 598024003
Browse MT providers · Browse ZIP 59802
Phone
4063295615
Fax
4063295606
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in MISSOULA, MT

Name Credential NPI
JERRY J KING PA-C 1790754463
WADE L HUDSON PA C 1518908524
KENNETH KESSLER PA-C 1538250246
MR. KEVIN PATRICK MCGILL PA 1114136454
TRAVIS LEE HARRIS P.A. 1598965097
AMY LYNN TANGEDAHL PA-C 1427288836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.