Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 96 | MT |
Y | 175F00000X | Naturopath | AHC-NAT-LIC-96 | MT |
NPI | 1013177542 |
---|---|
Provider Name | Dr. Robin Jennifer Thomson |
First Address | Bozeman, MT 59718 |
Second Address | Bozeman, MT 59718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 01/04/2019 |