| NPI | 1235327974 |
|---|---|
| Professional Name | GARY P. MONTAGUE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002507) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA2507) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2016-01-13 |