Individual
JAMES EDMUND MONTGOMERY
Active
Individual
JAMES EDMUND MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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