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Individual
STUART MEAD MONTGOMERY
Active
Individual
STUART MEAD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD22455
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD22455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2232283
—
WA
05
—
288362
—
OR
Enumeration date
07/08/2005
Last updated
11/05/2024
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