Individual
SARA GOTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 SOUTH THIRD RD., BOZEMAN, MT 59715
(760) 715-8550
Mailing address
4080 SOUTH THIRD RD., BOZEMAN, MT 59715
(760) 715-8550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99882
MT
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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