CANAAN MATTHEW MONTGOMERY

Dr CANAAN MATTHEW MONTGOMERY is a male medical professional, specializing in Optometry. He graduated in 2014 from Southern College Of Optometry.

Contact

4570 PECAN DR C
PADUCAH
KY
420016717

Tel:

CANAAN MATTHEW MONTGOMERY Information

Npi 1225442288
Pac Id 5991922445
Professional Enrollment Id I20141007002716
Last Name MONTGOMERY
First Name CANAAN
Middle Name MATTHEW
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2014
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4570 PECAN DR C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PADUCAH
State KY
Zip Code 420016717
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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