IDA SUE MONTGOMERY

FORT RUCKER, AL
NPI1104809359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: HI  APRN-384)
Enumeration Date2005-11-22
Last Update Date2007-07-08
Business Address
Mrs. IDA SUE MONTGOMERY CRNP
301 ANDREWS AVENUE LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL 36362
Phone number: 334-255-7387
Mailing Address
Mrs. IDA SUE MONTGOMERY CRNP
301 ANDREWS AVENUE LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL 36362
Phone number: 334-255-7387
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