Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK ALAN MONTGOMERY, M.D.
ActiveDERRICK ALAN MONTGOMERY, M.D. is a 207WX0120X healthcare provider located in ANDREWS AFB, Maryland. NPI 1225133499 is currently active in the NPPES registry. Verify at CMS.
207WX0120X · ANDREWS AFB, MD
Registration Details
- NPI Number
- 1225133499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.963654960908 yrs)
- Last Updated
- Jun 6, 2022
- Licenses
-
A96117 (CA)35.125039 (OH)35.125039 (OH)
Practice Information
- Address
-
316TH MDG1060 W. PERIMETER RD SUITE 3K43ANDREWS AFB, MD, 20762Browse MD providers · Browse ZIP 20762
- Phone
- 2406121730
- Primary Specialty
-
207WX0120X
207WX0120X
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- 207WX0120X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.