Individual
DR. JOSUE MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BOULEVARD, DEPARTMENT OF RADIOLOGY, COOKEVILLE, TN 38501
(931) 783-2726
Mailing address
PO BOX 3262, INDIANAPOLIS, IN 46206-3262
(844) 257-5898
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
44243
TN
2085R0204X
Vascular & Interventional Radiology Physician
C-8182
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121553001
—
AR
05
—
1510371
—
TN
Enumeration date
05/23/2006
Last updated
02/03/2017
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