Individual
MISTY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
(307) 527-6218
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
(307) 527-6218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
29540
WY
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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