Individual
AMANDA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2740 SOUTH AVE W, MISSOULA, MT 59804-5135
(406) 728-6101
Mailing address
6692 BRISTLE CONE CT, LOLO, MT 59847-9218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
146541
MT
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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