Montague, Terry L
Montague, Terry L is an individual health care provider with primary practice located at 1380 E Medical Center Dr , St George UT 84790-2123. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Montague, Terry L can be contacted via phone (435) 688-4000.Contact Information
Primary practice address
1380 E Medical Center Dr
St George UT 84790-2123
Phone: (435) 688-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 174855-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11253 | Nevada |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 174855-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 174855-1205 | Utah |
Profile Details
| NPI number | 1356367536 |
|---|---|
| LBN Legal business name | Montague, Terry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 1st, 2011 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356367536 | NPPES |
| Utah | Other | 107007775101 | IHC |
| Utah | Other | 907907 | IHC |
| Utah | MEDICAID | 870487570004 | IHC |
| Utah | Other | 59284499602001 | IHC |
| Utah | Other | 870487570MD1 | IHC |
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