Individual
MS. TARA LYNN SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043-0070
(406) 477-4484
(406) 477-3153
Mailing address
PO BOX 70, LAME DEER, MT 59043-0070
(406) 477-4484
(406) 477-3153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
480
MT
Other
Enumeration date
11/08/2006
Last updated
02/04/2013
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