Individual
DR. MICHAEL CHRISTOPHER MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1002
(800) 862-9980
(314) 362-1185
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2015029485
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
2015029485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043974
—
MO
Enumeration date
06/26/2012
Last updated
11/15/2021
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