Individual
DR. ANTHONY JOSEPH MONTEGUT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15221 SPRAGUE ST, OMAHA, NE 68116-4261
(402) 614-3703
Mailing address
15221 SPRAGUE ST, OMAHA, NE 68116-4261
(402) 614-3703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36831
IA
207Q00000X
Family Medicine Physician
Primary
0101234489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306830013
—
IA
05
—
1306830013
—
NE
Enumeration date
09/08/2005
Last updated
03/10/2011
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