Provider Demographics
NPI:1508031220
Name:MONT, MEGHAN ROCHELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:ROCHELLE
Last Name:MONT
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:214 S 4TH STREET
Mailing Address - City:KREMMLING
Mailing Address - State:CO
Mailing Address - Zip Code:80459-0399
Mailing Address - Country:US
Mailing Address - Phone:970-724-3442
Mailing Address - Fax:970-724-9606
Practice Address - Street 1:214 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:KREMMLING
Practice Address - State:CO
Practice Address - Zip Code:80459-0399
Practice Address - Country:US
Practice Address - Phone:970-887-1216
Practice Address - Fax:970-887-1820
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2020-02-06
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Provider Licenses
StateLicense IDTaxonomies
CO48559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO48559OtherSTATE MEDICAL LICENSE