Individual
DR. BRETT LANGDON MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 323-8180
Mailing address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 323-8180
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
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