Individual
DERRICK ALAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316TH MDG, 1060 W. PERIMETER RD SUITE 3K43, ANDREWS AFB, MD 20762
(240) 612-1730
Mailing address
316TH MDG, 1060 W. PERIMETER RD SUITE 3K43, ANDREWS AFB, MD 20762
(240) 612-1730
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A96117
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
35.125039
OH
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
35.125039
OH
Other
Enumeration date
09/13/2006
Last updated
06/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us