JERRY J KING

MISSOULA, MT
NPI1790754463
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: MT  770597)
Enumeration Date2006-03-15
Last Update Date2007-07-08
Business Address
JERRY J KING PA-C
2831 FORT MISSOULA RD SUITE 232
MISSOULA, MT 59804-7419
Phone number: 406-728-6101
Mailing Address
JERRY J KING PA-C
2831 FORT MISSOULA RD SUITE 232
MISSOULA, MT 59804-7419
Phone number: 406-728-6101
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