Individual
MISS SANDRA SLAY POYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 H STREET EAST, BOX 67, POPLAR, MT 59255-0067
(406) 653-1656
Mailing address
PO BOX 67, 107 H STREET EAST, POPLAR, MT 59255-0067
(406) 653-1656
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
80859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9990118
—
MT
Enumeration date
06/07/2013
Last updated
06/07/2013
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