Individual
MS. ANGELA R MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2005-0039
NM
Other
Enumeration date
06/14/2006
Last updated
08/12/2010
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