Individual provider · Type 1 NPI

Justine M. Derousse, PA-C

Medical Physician Assistant · Bozeman, MT

NPI number 1609843168 Active

Practice location

1006 W Main St
Bozeman, MT 59715-3219

Call (406) 414-4800 Map

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902

Other practice locations

  • 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 · (406) 752-8900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X451 (MT)
Medical Physician Assistant Primary 363AM0700XMED-PAC-LIC-451 (MT)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1609843168

Justine M. Derousse, PA-C's National Provider Identifier is 1609843168, issued on Mar 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bozeman, MT. The record was last updated on Jun 24, 2026.