Individual provider · Type 1 NPI
Mary Montgomery, PA-C
Physician Assistant · Bloomington, IN
Practice location
2100 S Liberty Dr
Bloomington, IN 47403-5147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 10005406A (IN) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1225950488
Mary Montgomery, PA-C's National Provider Identifier is 1225950488, issued on Jul 29, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, IN. The record was last updated on Jul 29, 2026.