Individual provider · Type 1 NPI

Blake Karlton Montgomery, MD

Pediatric Orthopaedic Surgery Physician · St. Louis, MO

NPI number 1104270610 Active

Practice location

1 Childrens Pl, Ste 1B
St. Louis, MO 63110-1002

Call (314) 514-3500 Map

Fax (314) 878-7678

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Orthopaedic Surgery Physician Primary 207XP3100X2023011215 (MO)

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

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About NPI 1104270610

Blake Karlton Montgomery, MD's National Provider Identifier is 1104270610, issued on Apr 20, 2016. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.