Individual
SARA ELIZABETH WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MERCADO ST, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Mailing address
1 MERCADO ST, DURANGO, CO 81301-7311
(970) 382-8800
(970) 382-0122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7272123-1206
UT
Other
Enumeration date
03/30/2009
Last updated
04/03/2018
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