Individual
BRIAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 MEDICAL DR STE 150, BOUNTIFUL, UT 84010-5085
(801) 298-3247
Mailing address
PO BOX 405831, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14007982-1205
UT
Other
Enumeration date
05/31/2013
Last updated
08/12/2024
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