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NPI Code Detail

MEDICARE: LAURA SHERER PACE PA

MEDICARE: LAURA SHERER PACE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant86996MT

General Provider Information

NPI Number : 1629267521
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SHERER PACE PA
Provider Business Mailing Address
First Line : 2233 W KAGY BLVD STE 2
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-5938
Country : US
Telephone Number : 406-586-7873
Fax Number : 406-586-7873
Provider Business Practice Location Address
First Line : 2233 W KAGY BLVD STE 2
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-5938
Country : US
Telephone Number : 406-586-7873
Fax Number : 406-586-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 04/16/2024

Similar Medicare Providers

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Practice Location Address:
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1174632277 — TERESA P MANN M.D.
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1073823845 — ELIZABETH A ANSLEY PA-C
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1255751707 — TERESA MANN, M.D., P.C.
Practice Location Address:
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1659833986 — ASHLEE LAUREN CULVER MD
Practice Location Address:
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Directions to “ LAURA SHERER PACE PA” Practice Location

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