Individual
PAUL JOSEPH MONTALBANO
Active
Individual
PAUL JOSEPH MONTALBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M8076
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010029707
REGENCE BLUE SHIELD
ID
01
—
000010163125
REGENCE BLUE SHIELD TALUS
ID
01
—
0214271
WA DEPT OF LABOR
ID
01
—
128615500
US DEPARTMENT OF LABOR
—
05
—
1699793661
—
ID
01
—
288294
OMAP
OR
01
—
76747
BLUE CROSS OF IDAHO
ID
Enumeration date
07/18/2006
Last updated
05/09/2022
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