Organization
NORTH END PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MONTGOMERY MD (MEMBER)
(208) 345-2212
Entity
Organization
Contact information
Practice address
1423 W FRANKLIN ST, BOISE, ID 83702-5024
(208) 345-2212
(208) 345-2282
Mailing address
1423 W FRANKLIN ST, BOISE, ID 83702-5024
(208) 345-2212
(208) 345-2282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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