Jason Robert Montgomery, PAC

NPI #1447410980 in Lancaster, Ohio

Provider Information

NPI Number: 1447410980
Entity Type: Individual
Name: Jason Robert Montgomery, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 9, 2008
Last Updated: Dec 16, 2009

Practice Location

Address: 2405 N COLUMBUS ST STE 200
City: Lancaster
State: Ohio
ZIP Code: 43130
Phone: (740) 687-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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