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Bradley Montgomery
NPI 1154445575 · on the registry since 2007
Practice
- Address
- 511 S Neosho Blvd
Neosho, MO 64850 - Phone
- (417) 451-8682
- Fax
- (417) 451-8684
- Organisation at this address
- Neosho R-V School District
Ozark Tri-County Health Care ConsortiumInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri