Individual
SIERRA RENAE HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 5TH AVE E, SCOBEY, MT 59263-7849
(406) 487-2263
Mailing address
PO BOX 400, SCOBEY, MT 59263-0400
(406) 487-2296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-124184
MT
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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