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Contact Information

FRED A MONTGOMERY, MD
215 S 11TH AVE
D
YAKIMA, WA98902-3255
 Phone: 509-248-6192
 Fax: 509-452-5433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for FRED A MONTGOMERY · (Male)

NPI Number 1780851261
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2008
Last updated 05/13/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00009512
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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