Individual
DR. LESLIE ANN RUYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1233 N 30TH ST, BILLINGS, MT 59101
(406) 237-7076
Mailing address
1233 N 30TH ST, BILLINGS, MT 59101-0127
(406) 237-7076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6723
NE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
66810
MT
2080N0001X
Neonatal-Perinatal Medicine Physician
9324739-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6723
TEMPORARY EDUCATION PERMIT
NE
01
—
9324739-1205
LICENSE NUMBER
UT
Enumeration date
05/31/2012
Last updated
08/06/2018
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