Individual
CHRISTOPHER R MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 PHYSICIANS PARK STE 400, POPLAR BLUFF, MO 63901-3923
(573) 727-5500
(573) 727-5599
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002006276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205833403
—
MO
Enumeration date
05/27/2006
Last updated
03/01/2021
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