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Individual

DANIEL MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00707
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605849
OR
Enumeration date
07/17/2006
Last updated
03/01/2010
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