Individual
SARA MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4105 E FLORIDA AVE STE 200, DENVER, CO 80222-3641
(303) 539-0736
(303) 539-0737
Mailing address
4105 E FLORIDA AVE, DENVER, CO 80222-3620
(303) 539-0736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA0004511
LICENSE NUMBER
CO
01
—
PA20402
LICENSE NUMBER
CA
Enumeration date
07/09/2009
Last updated
10/23/2022
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