Individual
MARY ANN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
554 PRIM ST, ASHLAND, OR 97520-1570
(541) 482-4300
Mailing address
554 PRIM ST, ASHLAND, OR 97520-1570
(541) 482-4300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD R6699
MO
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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