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Individual

AMANDA JO FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
334 TOWN CENTER AVE, BIG SKY, MT 59716-1713
(406) 995-6995
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-69584
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1110401
NCCPA
05
1912349531
MT
Enumeration date
07/24/2013
Last updated
04/10/2025
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