Individual
DANIEL LEE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 719-4060
(605) 719-4012
Mailing address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(602) 501-0187
(605) 719-4012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50465
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2011
Last updated
10/20/2015
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