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Organization

FOUR PEAKS MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE MONTGOMERY FNP (FNP)
(765) 265-1214
Entity
Organization

Contact information

Practice address
116 E FRONT ST STE A, LAUREL, DE 19956-1725
(765) 265-1214
Mailing address
102 WELCH ACRES DR, FELTON, DE 19943-3939

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/26/2024
Last updated
06/26/2024
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