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Individual
ROGER C MONTGOMERY
Active
Individual
ROGER C MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
N-8043
AR
207R00000X
Internal Medicine Physician
17227
OK
207R00000X
Internal Medicine Physician
N-8043
AR
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
N-8043
AR
208M00000X
Hospitalist Physician
N-8043
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117900001
—
AR
01
—
54200
AR BC/BS
AR
Enumeration date
06/29/2006
Last updated
07/21/2022
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