NPI: 1043248917 · GRANTS PASS, OR 97526 · Anesthesiology Physician · NPI assigned 06/29/2006
| Authorized Official | MONTGOMERY, ROBERT (MANAGER) |
| NPI Enumeration Date | 06/29/2006 |
Other providers sharing the same authorized official: MONTGOMERY, ROBERT
| Provider | City | State | Total Paid |
|---|---|---|---|
| RIDDLE MONTGOMERY METHENY DDS INC | ELKINS | WV | $925.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $835.57 |
| 2019 | 43 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 58 | 49 | $3K |