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Individual

DR. BRETT LANGDON MONTGOMERY

Active
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Individual

DR. BRETT LANGDON MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101247339
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019419
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205033636
VA
Enumeration date
06/29/2007
Last updated
01/31/2011
Update your record

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