Individual
DR. RICHARD S. MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1204
(619) 532-8670
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1204
(619) 532-8670
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C142575
CA
2085R0202X
Diagnostic Radiology Physician
Primary
N8226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282077101
—
TX
Enumeration date
01/07/2008
Last updated
08/12/2016
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