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Individual

SARAH LOUISE ZUECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
900 N ORANGE ST STE 106, MISSOULA, MT 59802-2951
(406) 327-3100
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-36496
MT
363A00000X
Physician Assistant
PA.0004131
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982091930
MT
Enumeration date
04/16/2015
Last updated
02/29/2024
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