Individual
RILEY ALLEN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2360 MULLAN RD, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
250 GRANDVIEW WAY, MISSOULA, MT 59803-3353
(406) 274-6107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
163831
MT
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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