Joanne Ruth Montgomery M.D.

NPI 1609040427 - Dermatology - 207N00000X

NPI Details
NPI 1609040427
Gender Female
Enumeration Date 04/14/2008
Last Updated 06/24/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
4656 40TH AVE S
FARGO ND, 58104-4397, US
Phone (701) 234-8860
Fax
Business Location
4656 40TH AVE S
FARGO ND, 58104-4397, US
Phone (701) 234-8860
Fax (727) 572-1331
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number ME109271
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According to our database, Dr. Joanne Ruth Montgomery M.D. NPI is 1609040427, taxonomy code is 207N00000X and license number is ME109271, license state is located at Florida. Joanne Ruth Montgomery M.D. physically located at 4656 40th Ave S, Fargo ND, 58104-4397. NPI Number Joanne Ruth Montgomery M.D. has the Individual type.

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1609040427 NPI number is provided on an as is basis without warranty of any kind. 1609040427 is maintained by the National Plan & Provider Enumeration System. The contents of Joanne Ruth Montgomery M.D. are for informational purposes only.