Doctor Amy Haynes INC
Naturopath in Missoula, MT. Organization (NPI-2).
NPI number1336745652
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1336745652
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctor Amy Haynes INC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | – | – | Yes |
Other names
- Full Circle Natural Medical Clinic (Doing Business As)
Practice location
521 S 2nd St WMissoula, MT 59801-1832
Phone 406-721-2147 · Fax 406-543-1020
Mailing address
521 S 2nd St WMissoula, MT 59801-1832
Phone 406-721-2147 · Fax 406-543-1020
Authorized official
Stephanie Raven
Naturopathic Doctor
4067212147
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