Individual
MR. TODD ROBERT MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2865 DAGGETT ST., KLAMATH FALLS, OR 97601
(541) 883-6263
(541) 883-6216
Mailing address
17707 FREIGHT RD LN, KLAMATH FALLS, OR 97601
(541) 883-6263
(541) 883-6216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7852
OR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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