| Frederick A Montgomery Md Inc Ps | |
|
215 So 11th # D Yakima WA 98902 | |
| (509) 248-6192 | |
| (509) 452-5433 |
| Full Name | Frederick A Montgomery Md Inc Ps |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 215 So 11th # D, Yakima, Washington |
| Authorized Official Name and Position | Frederick A Montgomery (PRESIDENT) |
| Authorized Official Contact | 5092486192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick A Montgomery Md Inc Ps 215 So 11th # D Yakima WA 98902 Ph: (509) 248-6192 | Frederick A Montgomery Md Inc Ps 215 So 11th # D Yakima WA 98902 Ph: (509) 248-6192 |
| NPI Number | 1457410961 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457410961 | NPI | - | NPPES |
| 1591403 | Medicaid | WA |
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