Individual provider · Type 1 NPI

Jerry J. King, PA-C

Surgical Physician Assistant · Missoula, MT

NPI number 1790754463 Active

Practice location

2831 Fort Missoula Rd, Suite 232
Missoula, MT 59804-7419

Call (406) 728-6101 Map

Fax (406) 721-3278

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X770597 (MT)

Surgical Physician Assistant: Definition to come...

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About NPI 1790754463

Jerry J. King, PA-C's National Provider Identifier is 1790754463, issued on Mar 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Missoula, MT. The record was last updated on Jul 13, 2026.