Frederick A Montgomery Md Inc Ps in Yakima - Addiction Medicine

Frederick A Montgomery Md Inc Ps - NPI 1457410961

Frederick A Montgomery Md Inc Ps is a Addiction Medicine in Yakima, Washington. Frederick A Montgomery Md Inc Ps practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Frederick A Montgomery Md Inc Ps is 1457410961. The last update date is 2020-08-22.

Frederick A Montgomery Md Inc Ps's current location address is 215 So 11th # D, Yakima, Washington. You can contact this provider via phone number 5092486192 and fax number 5094525433. The mailing address for Frederick A Montgomery Md Inc Ps is 215 So 11th # D, Yakima, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Frederick A Montgomery Md Inc Ps
Address 215 So 11th # D, Yakima, Washington
Phone Number 5092486192
Fax Number 5094525433
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Montgomery A Frederick
Credentials MD
Telephone Number 5092486192

NPI Number Detail

NPI Number 1457410961
Provider Enumeration Date 2006-12-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 215 So 11th # D
City Yakima
State Washington (WA)
Post Code 98902
Phone Number 5092486192
Fax Number 5094525433

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No MD00009512
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1591403 WA --

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FAQs about Frederick A Montgomery Md Inc Ps

What is the unique identification code assigned to Frederick A Montgomery Md Inc Ps by the Centers for Medicare & Medicaid Services?

The Frederick A Montgomery Md Inc Ps has been issued the NPI (National Provider Identifier) 1457410961. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Frederick A Montgomery Md Inc Ps is geographically located?

The Frederick A Montgomery Md Inc Ps is physically situated at the following location: 215 So 11Th # D, Yakima, WA, 98902.

What is Frederick A Montgomery Md Inc Ps's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Frederick A Montgomery Md Inc Ps is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 2084A0401X.

When did Frederick A Montgomery Md Inc Ps receive its 1457410961 assignment?

The Frederick A Montgomery Md Inc Ps was assigned its 1457410961 on 2006-12-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Frederick A Montgomery Md Inc Ps last refreshed?

The information related to the Frederick A Montgomery Md Inc Ps, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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