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GARY DALE MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
12800 BOTHELL EVERETT HWY, STE A, EVERETT, WA 98208-6642
(425) 316-5150
(425) 903-3142
Mailing address
PO BOX 827, BELLEVUE, WA 98009-0827
(425) 563-6258

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601013078
MI
363A00000X
Physician Assistant
Primary
PA60577634
WA

Other

Enumeration date
11/05/2015
Last updated
05/20/2025
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