NPI 1205225117

Tom Montgomery

Practitioner Nursing Home Administrator Muskogee, OK

Practice location

Address: 1929 Betty Jane Ln, Muskogee, OK 74403-1581
Phone: (918) 683-9407

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 2286 (OK)

Other Nursing Home Administrator providers in Oklahoma →

Registry record

NPI: 1205225117
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.