IndividualActive
Jerry King, PA-C
NPI 1790754463 · Surgical Physician Assistant · Missoula, MT
Provider details
- NPI number
- 1790754463
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- License
- 770597 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419
Phone: (406) 728-6101
Fax: (406) 721-3278
Approximate (ZIP-level) locationGet directions
Mailing address
2831 Fort Missoula Rd
Missoula, MT 59804-7419
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.