MICHAEL T MONTAGUE

TULSA, OK
NPI1316948656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  1208)
Enumeration Date2005-08-09
Last Update Date2008-06-19
Business Address
-- MICHAEL T MONTAGUE PAC
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171
Mailing Address
-- MICHAEL T MONTAGUE PAC
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171