| Robert Montgomery, | |
|
2861 Madison Ave, Granite City, IL 62040-3614 | |
| (618) 709-7723 | |
| Not Available |
| Full Name | Robert Montgomery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2861 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447787544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2017010802 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Montgomery, 4221 Highway Kk, New Haven, MO 63068-2146 Ph: () - | Robert Montgomery, 2861 Madison Ave, Granite City, IL 62040-3614 Ph: (618) 709-7723 |
Taylor Marie Bogue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 | |
Hannah Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3260 | |
Mr. Edward Carl Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
Zachary Trussler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-288-4388 | |
Marion Elsa Gabou, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Mitra S. Shultz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave Ste 6, Granite City, IL 62040 Phone: 618-798-3475 Fax: 618-798-3868 |