JONATHAN RAY MONTGOMERY

SALT LAKE CITY, UT
NPI1780777821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  331062-4405)
Enumeration Date2006-10-02
Last Update Date2008-12-29
Business Address
Mr. JONATHAN RAY MONTGOMERY FNP, BC
4088 W 1820 S
SALT LAKE CITY, UT 84104-4801
Phone number: 801-975-7799
Mailing Address
Mr. JONATHAN RAY MONTGOMERY FNP, BC
14344 CROWN ROSE DR
HERRIMAN, UT 84096-6927
Phone number: 801-302-5976