Individual
DR. SARA L MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 N BEHREND AVE STE A, FARMINGTON, NM 87401-8418
(505) 716-2842
Mailing address
108 N BEHREND AVE STE A, FARMINGTON, NM 87401-8418
(505) 716-2842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD20050050
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80456057
—
NM
05
—
82679771
—
CO
05
—
945636
—
AZ
Enumeration date
11/02/2005
Last updated
07/23/2010
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