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Individual

SARAH LISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
14288642-1204
UT
2084N0400X
Neurology Physician
MED-PHYS-LIC-124855
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942863634
ID
05
200016706
MT
Enumeration date
04/17/2019
Last updated
06/02/2026
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