Individual
SEAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL18564
ND
2084N0400X
Neurology Physician
Primary
24393
ND
Other
Enumeration date
06/15/2022
Last updated
08/12/2026
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