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Dr. Russell Scott Montgomery, MD
Specialist in Anaheim, California
NPI 1386624526

Russell Scott Montgomery is a Specialist based in Anaheim, CA. Russell Scott Montgomery practices in Anaheim, CA and has the professional credentials of MD. The NPI Number for Russell Scott Montgomery is 1386624526 and holds a License No. G81733 (California).

The current practice location address for Russell Scott Montgomery is 1211 W La Palma Ave, Anaheim, CA and can be reached out via phone at 714-778-1032 and via fax at 714-778-5634.

Location: 1211 W La Palma Ave, Anaheim, CA, 92801-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386624526
Provider Name
Russell Scott Montgomery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1211 W La Palma Ave, Anaheim, CA, 92801-2815
Phone Number
714-778-1032
Fax Number
714-778-5634
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0093510 05 AR
00G817330 05 AR
institution
Provider Business Practice Location Address Details
Address
1211 W La Palma Ave
City
Anaheim
State
California
Zip
92801-2815
Phone Number
714-778-1032
Fax Number
714-778-5634
person
Provider Business Mailing Address Details
Address
1211 W La Palma Ave
City
Anaheim
State
California
Zip
92801-2815
Phone Number
714-778-1032
Fax Number
714-778-5634
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G81733 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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