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Individual

LELAND THOMAS MONTIERTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101025803
MI
208D00000X
General Practice Physician
5101025803
MI

Other

Enumeration date
03/19/2019
Last updated
05/29/2025
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