Individual
MICHEAL MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3284 COUNTY STREET 2770, CEMENT, OK 73017-9234
(405) 829-0320
Mailing address
3284 COUNTY STREET 2770, CEMENT, OK 73017-9234
(405) 829-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
-
OK
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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