Individual
SARA R LONGOBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 ROGERS WAY, BOZEMAN, MT 59718-2660
(763) 248-8854
Mailing address
830 ROGERS WAY, BOZEMAN, MT 59718-2660
(763) 248-8854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-51845
MT
363AM0700X
Medical Physician Assistant
10304
MN
Other
Enumeration date
08/23/2007
Last updated
09/03/2024
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