NPI Registry.org

Sara Burch

NPI Registration Record

Provider / OrganizationNPIDate Certified
SARA BURCH12155354972020-10-11
Entity TypeIndividual
Provider Name Sara Burch
Practice Office Address314 MAIN ST
STEVENSVILLE, MT US
Practice Office Telephone4064149200
Mailing Address315 MADISON ST
MISSOULA, MT 598024630 US
Business Telephone4064715753
Offices / Locations
AddressCity / StatePhone / Fax
301 W Front St Missoula, MT 598024167 4064715753
HPT Codes
CodeLicense NoState
225700000X PRIMARYLMT-LMT-LIC-160 MT
OPI Codes

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