Individual provider · Type 1 NPI

Elizabeth Montgomery, P.A

Medical Physician Assistant · Edmond, OK

NPI number 1659642163 Active

Practice location

4509 Integris Pkwy Ste 200
Edmond, OK 73034-8696

Fax (405) 471-0040

Mailing address

5300 N Independence Ave, Suite 280
Oklahoma City, OK 73112-5556

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2082 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1659642163

Elizabeth Montgomery, P.A's National Provider Identifier is 1659642163, issued on Jan 16, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Edmond, OK. The record was last updated on Jul 21, 2022.