Individual
WILLIAM HENRY MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 LATHROP ST, SUITE 204, FAIRBANKS, AK 99701-5930
(907) 452-8151
(907) 452-8153
Mailing address
1919 LATHROP ST, SUITE 204, FAIRBANKS, AK 99701-5930
(907) 452-8151
(907) 452-8153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1335
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 1335
—
AK
Enumeration date
03/14/2006
Last updated
11/11/2010
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