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Jerry J King, PA-C
Surgical Physician Assistant in Missoula, Montana
NPI 1790754463

Jerry J King is a Surgical Physician Assistant based in Missoula, MT and is specialized in Surgical. Jerry J King practices in Missoula, MT and has the professional credentials of PA-C. The NPI Number for Jerry J King is 1790754463 and holds a License No. 770597 (Montana).

The current practice location address for Jerry J King is 2831 Fort Missoula Rd, Missoula, MT and can be reached out via phone at 406-728-6101 and via fax at 406-721-3278.

Location: 2831 Fort Missoula Rd, Missoula, MT, 59804-7419
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Provider Profile Details
NPI Number
1790754463
Provider Name
Jerry J King
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2831 Fort Missoula Rd, Missoula, MT, 59804-7419
Phone Number
406-728-6101
Fax Number
406-721-3278
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0023283 05 MT
institution
Provider Business Practice Location Address Details
Address
2831 Fort Missoula Rd
City
State
Zip
59804-7419
Phone Number
406-728-6101
Fax Number
406-721-3278
person
Provider Business Mailing Address Details
Address
2831 Fort Missoula Rd
City
State
Zip
59804-7419
Phone Number
406-728-6101
Fax Number
406-721-3278
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
770597 (Montana)
Definition
Definition to come...
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