Individual
AMANDA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3800 EASTSIDE HWY, STEVENSVILLE, MT 59870-2224
(406) 777-2775
(406) 777-2796
Mailing address
PO BOX 16900, MISSOULA, MT 59808-6900
(406) 327-4620
(406) 549-5928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
318
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4304183
—
MT
Enumeration date
04/25/2007
Last updated
07/08/2007
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