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Individual

STEVEN FOREST SACRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
108 FIRST ST W, WHITEHALL, MT 59759-0339
(406) 287-3003
(406) 287-3014
Mailing address
PO BOX 339, WHITEHALL, MT 59759-0339
(406) 287-3003
(406) 287-3014

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
360
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184739200
FED WORK COMP GROUP ID
05
4302207
MT
05
4302220
MT
01
95473
BCBS MT PROV ID
MT
01
Q02866
UPIN
Enumeration date
09/20/2005
Last updated
03/07/2023
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