Individual
GUY MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
Mailing address
449 MOUNTAIN VIEW ST, POWELL, WY 82435-2232
(307) 754-4559
(307) 754-7733
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2922A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070824
MT MEDICAID
MT
01
—
307064
BLUE CROSS BLUE SHIELD
WY
Enumeration date
10/17/2005
Last updated
04/19/2026
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