| David M Montgomery Md Inc | |
|
403 Clarendon Ave Nw Canton OH 44708-4505 | |
| (330) 453-7117 | |
| (330) 453-5995 |
| Full Name | David M Montgomery Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 403 Clarendon Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | David M Montgomery (OWNER/PRESIDENT) |
| Authorized Official Contact | 3304537117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Montgomery Md Inc 403 Clarendon Ave Nw Canton OH 44708-4505 Ph: (330) 453-7117 | David M Montgomery Md Inc 403 Clarendon Ave Nw Canton OH 44708-4505 Ph: (330) 453-7117 |
| NPI Number | 1508046038 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508046038 | NPI | - | NPPES |
| 0136221 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35029375 (Ohio) | Primary |
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