DR. Michael R Montgomery, OD

NPI #1124002969 in Lebanon, Missouri

Provider Information

NPI Number: 1124002969
Entity Type: Individual
Name: DR. Michael R Montgomery, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 5, 2005
Last Updated: Nov 27, 2012

Practice Location

Address: 279 E ELM ST
City: Lebanon
State: Missouri
ZIP Code: 65536-3610
Phone: (417) 532-2562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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