Montgomery, Gary Dale

Montgomery, Gary Dale is an individual health care provider with primary practice located at 12800 Bothell Everett Hwy Ste A, Everett WA 98208-6642. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montgomery, Gary Dale can be contacted via phone (425) 316-5150.

Contact Information

Primary practice address
12800 Bothell Everett Hwy Ste A Everett WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 903-3142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601013078 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60577634 Washington

Profile Details

NPI number 1104299601
LBN Legal business name Montgomery, Gary Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated May 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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