Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 4301081078 | MI |
Y | 207VG0400X | Gynecologist | 7069 | MT |
N | 207VG0400X | Gynecologist | ME82535 | FL |
NPI | 1083820948 |
---|---|
Provider Name | Dr. Debra Lynn Hill-Busselle |
First Address | Bozeman, MT 59719-0190 |
Second Address | Bozeman, MT 59718-2729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 19/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D40137 | (02) | MT |