Individual
JAMES EDMUND MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10465 MELODY DR, STE 111, NORTHGLENN, CO 80234-4119
(303) 252-9981
(303) 252-7306
Mailing address
10465 MELODY DR, STE 111, NORTHGLENN, CO 80234-4119
(303) 252-9981
(303) 252-7306
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39792
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84981326
—
CO
01
—
911546
SECURE HORIZONS
—
Enumeration date
08/10/2006
Last updated
11/19/2009
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