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Dr. Ty Montgomery, MD
Diagnostic Radiology Physician in Shelbyville, Indiana
NPI 1003947276

Ty Montgomery is a Diagnostic Radiology Physician based in Lima, IN and is specialized in Diagnostic Radiology. Ty Montgomery practices in Shelbyville, IN and has the professional credentials of MD. The NPI Number for Ty Montgomery is 1003947276 and holds a License No. 01047114A (Indiana).

The current practice location address for Ty Montgomery is 2451 Intelliplex Dr, Shelbyville, IN and can be reached out via phone at 317-392-3211.

Location: 2451 Intelliplex Dr, Shelbyville, IN, 45802-0058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003947276
Provider Name
Ty Montgomery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2451 Intelliplex Dr, Shelbyville, IN, 45802-0058
Phone Number
317-392-3211
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000204615 01 IN ANTHEM BCBS
200286380 05 IN
institution
Provider Business Practice Location Address Details
Address
2451 Intelliplex Dr
City
Shelbyville
State
Indiana
Zip
46176-8580
Phone Number
317-392-3211
Fax Number
person
Provider Business Mailing Address Details
Address
2451 Intelliplex Dr
City
Shelbyville
State
Indiana
Zip
46176-8580
Phone Number
317-392-3211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01047114A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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