| Richard Montgomery Md Pc | |
|
413 N Allumbaugh St Ste 101 Boise ID 83704-9219 | |
| (208) 323-1125 | |
| (208) 323-9604 |
| Full Name | Richard Montgomery Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Richard Montgomery (OWNER) |
| Authorized Official Contact | 2083231125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Montgomery Md Pc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 | Richard Montgomery Md Pc 413 N Allumbaugh St Ste 101 Boise ID 83704-9219 Ph: (208) 323-1125 |
| NPI Number | 1730357047 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 1153395843 |
|---|---|
| Medicare Enrollment ID | O20190808003667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730357047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M9072 (Idaho) | Primary |
| Provider Name | Richard A Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275567638 PECOS PAC ID: 3476527169 Enrollment ID: I20190808003700 |
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