Individual
IAN DAVID MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
609025
NY
363L00000X
Nurse Practitioner
Primary
95001118
CA
Other
Enumeration date
12/01/2009
Last updated
10/10/2024
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