Individual
GREGORY F MONTGOMERY
Active
Individual
GREGORY F MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101038521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128741000
WV MEDICAID
VA
01
—
1000870001
DME PROVIDER
VA
05
—
1427054113
—
VA
01
—
345911
ANTHEM
VA
01
—
5266237
CIGNA
VA
01
—
762076
SOUTHERN HEALTH
VA
Enumeration date
06/27/2005
Last updated
11/28/2012
Update your record
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