JASON MONTGOMERY

POCATELLO, ID
NPI1013270792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1182A)
Enumeration Date2012-06-19
Last Update Date2016-06-21
Business Address
-- JASON MONTGOMERY NP-C
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-2580
Mailing Address
-- JASON MONTGOMERY NP-C
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-2580
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