Individual
DR. MICHAEL H MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3921 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 942-5706
(337) 942-2644
Mailing address
2902 PINE VALLEY DR, OPELOUSAS, LA 70570-8694
(337) 942-5706
(337) 942-2644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152285
—
LA
Enumeration date
03/17/2006
Last updated
11/02/2010
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