Individual
MR. JOSHUA J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 MARKET ST STE 200, STEUBENVILLE, OH 43952-2846
(740) 282-5000
(740) 282-5233
Mailing address
380 SUMMIT AVE, MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003172RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077114
—
OH
01
—
50.003172
LICENSE
OH
Enumeration date
11/03/2010
Last updated
05/07/2020
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