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Individual

MICHELLE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
559 VINCENT ST, FAMILY PRACTICE CLINIC, PETERSON AFB, CO 80914-1540
(719) 556-1080
(719) 556-1266
Mailing address
559 VINCENT ST, FAMILY PRACTICE CLINIC, COLORADO SPRINGS, CO 80914-1541
(719) 556-1080
(719) 556-1266

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2002007463
MO

Other

Enumeration date
01/20/2006
Last updated
04/13/2010
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