Provider Demographics
NPI:1174237515
Name:DUGAS, AUTUMN ELIZABETH (ND)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:ELIZABETH
Last Name:DUGAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 RIVEROAKS DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3675
Mailing Address - Country:US
Mailing Address - Phone:336-953-8713
Mailing Address - Fax:
Practice Address - Street 1:720 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0913
Practice Address - Country:US
Practice Address - Phone:336-953-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAHC-NAT-LIC-2590175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath