Individual provider · Type 1 NPI
Jason Montgomery, PA-C
Medical Physician Assistant · Muncie, IN
NPI number
1104835594
Active
Practice location
3750 N Briarwood Ln
Muncie, IN 47304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 10000879A (IN) |
| Medical Physician Assistant Primary | 363AM0700X | 3167 (CO) |
| Physician Assistant | 363A00000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1104835594
Jason Montgomery, PA-C's National Provider Identifier is 1104835594, issued on Aug 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muncie, IN. The record was last updated on Oct 20, 2021.