Individual
PAULA JEAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSOCIATE
Contact information
Practice address
4140 W MEMORIAL RD, PLAZA 308, OKLAHOMA CITY, OK 73120-8366
(405) 749-7031
(405) 749-7036
Mailing address
4140 W MEMORIAL RD, PLAZA 308, OKLAHOMA CITY, OK 73120-8366
(405) 749-7031
(405) 749-7036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA175
OK
Other
Enumeration date
11/10/2005
Last updated
07/23/2007
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