Organization Name: | RUBY FRANCES LLC |
NPI Number: | 1003196338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BREANA MCELGUNN (OWNER, NATUROPATHIC PHYSICIAN) |
Mailing Address: | 317 E Mendenhall St Suite A Bozeman |
State: | MT US |
Postal Code: | 597153683 |
Phone Number: | 4065870858 |
Fax Number: | 4065860406 |
NPI Enumeration Date: | 08/17/2011 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 68 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |