Individual
SOPHIA E ASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
830 W CENTRAL AVE, MISSOULA, MT 59801-7931
(406) 829-9515
Mailing address
755 JAQUETTE RD, KALISPELL, MT 59901-7847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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