Individual
DR. CYNTHIA GAIL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 401, SHREVEPORT, LA 71118-3133
(318) 686-5440
(318) 686-0624
Mailing address
2508 BERT KOUNS LOOP, SUITE 401, SHREVEPORT, LA 71118-3133
(318) 686-5440
(318) 686-0624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06971R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378062
—
LA
01
—
29417
BCBS OF LA
LA
01
—
8082TU
BCBS OF TX
TX
Enumeration date
01/05/2006
Last updated
07/08/2007
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