Robert Montgomery

NPI #1447787544 in Granite City, Illinois

Provider Information

NPI Number: 1447787544
Entity Type: Individual
Name: Robert Montgomery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 19, 2017
Last Updated: Oct 17, 2018

Practice Location

Address: 2861 MADISON AVE
City: Granite City
State: Illinois
ZIP Code: 62040-3614
Phone: (618) 709-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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