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NPI Code Detail

MEDICARE: SARA MONTANEZ PA-C

MEDICARE: SARA MONTANEZ PA-C
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
1363A00000XPhysician AssistantPA20402CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA0004511OTHERCOLICENSE NUMBER
2PA20402OTHERCALICENSE NUMBER

General Provider Information

NPI Number : 1942439047
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MONTANEZ PA-C
Provider Business Mailing Address
First Line : 4105 E FLORIDA AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-3620
Country : US
Telephone Number : 303-539-0736
Fax Number :
Provider Business Practice Location Address
First Line : 4105 E FLORIDA AVE STE 200
Second Line :
City : DENVER
State : CO
Zip : 80222-3641
Country : US
Telephone Number : 303-539-0736
Fax Number : 303-539-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 10/23/2022

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Directions to “ SARA MONTANEZ PA-C” Practice Location

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