Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY J KING, PA-C
ActiveJERRY J KING, PA-C is a Surgical Physician Assistant healthcare provider located in MISSOULA, Montana. NPI 1790754463 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MISSOULA, MT
Registration Details
- NPI Number
- 1790754463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2006 (20.376122645711 yrs)
- Last Updated
- Jul 8, 2007
- License
-
770597 (MT)
Practice Information
- Address
-
2831 FORT MISSOULA RDSUITE 232MISSOULA, MT, 598047419Browse MT providers · Browse ZIP 59804
- Phone
- 4067286101
- Fax
- 4067213278
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| 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 |
| KATHLEEN MARKLE RACICOT | PA-C | 1154655777 |
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.