IndividualActive
Aaron Derry, PAC
NPI 1093755886 · Physician Assistant · Missoula, MT
Provider details
- NPI number
- 1093755886
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 402 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 West Broadway
Missoula, MT 59802-4008
Phone: (406) 721-5600
Fax: (406) 721-3907
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12
Liberty Lake, WA 99019-0012
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2021-05-24
- Certified
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.