Individual
HERMAN MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8400 OSUNA RD NE STE 2D, ALBUQUERQUE, NM 87111-2069
(877) 522-1275
(833) 888-7145
Mailing address
500 SW 7TH ST STEA205, RENTON, WA 98057
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0292
NM
363AM0700X
Medical Physician Assistant
PA2023-0292
NM
Other
Enumeration date
07/06/2022
Last updated
02/27/2025
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