Individual
JEFFREY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CHILDRENS WAY, SLOT # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
7419 OHIO ST APT 1B, LITTLE ROCK, AR 72207-5066
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
E-7963
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2010
Last updated
07/23/2013
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