Individual
DR. CHARLES H MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DEERWOOD RD, SUITE 360, SAN RAMON, CA 94583-4409
(925) 736-8584
(925) 886-3306
Mailing address
111 DEERWOOD RD STE 360, SAN RAMON, CA 94583-4446
(925) 594-1177
(925) 886-3306
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A69876
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A69876
CA
Other
Enumeration date
12/31/2006
Last updated
12/30/2022
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