Individual
ELIZABETH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
4509 INTEGRIS PKWY STE 200, EDMOND, OK 73034-8696
(405) 657-3950
(405) 471-0040
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 657-3950
(405) 471-0040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2082
OK
Other
Enumeration date
01/16/2012
Last updated
07/21/2022
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