Organization
ELEVATE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRONWYN ELIZABETH BACON ND (MEMBER)
(406) 219-3631
Entity
Organization
Contact information
Practice address
801 W MAIN ST, #1C, BOZEMAN, MT 59715-3336
(406) 219-3631
(206) 760-1809
Mailing address
801 W MAIN ST, #1C, BOZEMAN, MT 59715-3336
(406) 219-3631
(206) 760-1809
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
822MT
MT
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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