Organization
STEPHEN W. MONTGOMERY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WILDER MONTGOMERY MD (PRESIDENT)
(575) 623-8420
Entity
Organization
Contact information
Practice address
101 N MISSOURI AVE, ROSWELL, NM 88203-4657
(575) 623-8420
(575) 623-8421
Mailing address
101 N MISSOURI AVE, ROSWELL, NM 88203-4657
(575) 623-8420
(575) 623-8421
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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