Individual
ROY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1750 E ARICA RD, ELOY, AZ 85131
(801) 243-3675
Mailing address
4600 S MILL AVE, TEMPE, AZ 85282-6757
(480) 305-2888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6012
AZ
Other
Enumeration date
03/23/2015
Last updated
07/12/2018
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