IndividualActive
Conner Burck, PA-C
NPI 1134745664 · Surgical Physician Assistant · Missoula, MT
Provider details
- NPI number
- 1134745664
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA61100789 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12
Liberty Lake, WA 99019-0012
Additional practice locations (2)
- 69905 Meadow View RdSisters, OR 97759-9611Phone: (541) 525-4108
- 1100 Goethals Dr Ste E2ndRichland, WA 99352-3300Phone: (509) 942-3095Fax: (509) 942-3097
Registry dates
- Enumerated
- 2020-06-20
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.