Individual
MR. ALAN D MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 NORTH BROADWAY, SALEM, IL 62881
(618) 548-3506
(618) 548-2555
Mailing address
400 NORTH BROADWAY, SALEM, IL 62881
(618) 548-3506
(618) 548-2555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
01/22/2007
Last updated
01/22/2008
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