Individual
GARRETT TYLER MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
Mailing address
560 N CAMINO MERCADO, STE 7, CASA GRANDE, AZ 85122-5759
(480) 440-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
06/09/2022
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