Individual provider · Type 1 NPI

Conner J. Burck, PA-C

Surgical Physician Assistant · Missoula, MT

NPI number 1134745664 Active

Practice location

500 W Broadway St Ste 320
Missoula, MT 59802-4003

Call (406) 329-5615 Map

Fax (406) 329-5606

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012

Other practice locations

  • 69905 Meadow View Rd, Sisters, OR 97759-9611 · (541) 525-4108
  • 1100 Goethals Dr Ste E2ND, Richland, WA 99352-3300 · (509) 942-3095

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA61100789 (WA)
Surgical Physician Assistant Primary 363AS0400XMED-PAC-LIC-115542 (MT)

Surgical Physician Assistant: Definition to come...

34 other providers at this address

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About NPI 1134745664

Conner J. Burck, PA-C's National Provider Identifier is 1134745664, issued on Jun 20, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Missoula, MT. The record was last updated on Feb 21, 2023.