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Organization
B. L. MONTGOMERY M.D., INC
Active
Organization
B. L. MONTGOMERY M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE LEWIS MONTGOMERY MD (PRESIDENT)
(310) 377-2635
Entity
Organization
Contact information
Practice address
6833 ABBOTTSWOOD DR, RANCHO PALOS VERDES, CA 90275-3058
(310) 377-2635
Mailing address
6833 ABBOTTSWOOD DR, RANCHO PALOS VERDES, CA 90275-3058
(310) 377-2635
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
A28710
CA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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