Individual provider · Type 1 NPI

Ellen M. Montgomery, PA

Medical Physician Assistant · Hampton, VA

NPI number 1881669182 Active

Practice location

2304 W Mercury Blvd
Hampton, VA 23666-3115

Fax (757) 595-0362

Mailing address

5000 Cox Rd Ste 303
Glen Allen, VA 23060-9263

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110840718 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1881669182

Ellen M. Montgomery, PA's National Provider Identifier is 1881669182, issued on Feb 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hampton, VA. The record was last updated on Feb 23, 2022.