Jerry J King is a Surgical in Missoula, Montana. Jerry J King practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jerry J King is 1790754463. The last update date is 2007-07-08.
Jerry J King's current location address is 2831 Fort Missoula Rd, Missoula, Montana. You can contact this provider via phone number 4067286101 and fax number 4067213278. The mailing address for Jerry J King is 2831 Fort Missoula Rd, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry J King |
|---|---|
| Address | 2831 Fort Missoula Rd, Missoula, Montana |
| Phone Number | 4067286101 |
| Fax Number | 4067213278 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790754463 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2831 Fort Missoula Rd |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598047419 |
| Phone Number | 4067286101 |
| Fax Number | 4067213278 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 770597 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23283 | MT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry J King by the Centers for Medicare & Medicaid Services?
The Jerry J King has been issued the NPI (National Provider Identifier) 1790754463. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerry J King is located?
The Jerry J King is situated at the following address: 2831 Fort Missoula Rd, Missoula, MT, 598047419.
What is Jerry J King's area of expertise and its corresponding taxonomy classification?
The Jerry J King's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1790754463 to Jerry J King?
The Jerry J King received its 1790754463 assignment from the Centers for Medicare & Medicaid Services on 2006-03-15.
As of what date were the details related to Jerry J King most recently updated or revised?
The information pertaining to Jerry J King, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.