Mark H Montgomery MD PA
NPI #1851697023 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1851697023
- Entity Type
- Organization
- Organization Name
- Mark H Montgomery MD PA
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Feb 4, 2011
- Last Updated
- Mar 22, 2011
Practice Location
- Address
- 9240 BONITA BEACH RD SE
- Address 2
- SUITE 1106
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-4249
- Phone
- (239) 495-6200
Authorized Official
- Name
- DR. MARK H MONTGOMERY, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (239) 495-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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