Organization
DAVID M MONTGOMERY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M MONTGOMERY M.D. (OWNER/PRESIDENT)
(330) 453-7117
Entity
Organization
Contact information
Practice address
403 CLARENDON AVE NW, CANTON, OH 44708-4505
(330) 453-7117
(330) 453-5995
Mailing address
403 CLARENDON AVE NW, CANTON, OH 44708-4505
(330) 453-7117
(330) 453-5995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35029375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136221
—
OH
Enumeration date
11/13/2007
Last updated
12/03/2007
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