Individual
SARA JOAN DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
505 ANGLERS DR, SUITE 202, STEAMBOAT SPRINGS, CO 80487-8836
(970) 871-0000
(970) 870-1400
Mailing address
505 ANGLERS DR, SUITE 202, STEAMBOAT SPRINGS, CO 80487-8836
(970) 871-0000
(970) 870-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1480
CO STATE LIC
CO
05
—
81776535
—
CO
Enumeration date
07/31/2006
Last updated
03/07/2023
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