Individual
SADIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1745
(406) 549-9100
Mailing address
1700 1/2 SHERWOOD ST, MISSOULA, MT 59802-2204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMT-LMT-LIC-3047
MT
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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