| Doctor Name: | DANIE TEJADO MONTANO |
| NPI Number: | 1265486898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | NCCPA 1051879 |
| Business Practice Address: | Usa Meddac Wuerzburg Conn Ctmc Apo Ae, NY - 092260000 |
| Business Phone Number: | 0114997219 |
| Business Fax Number: | |
| Mailing Address: | Usa Meddac Wuerzburg, Attn: Credentials Office, Unit 26610 APO |
| State: | AE |
| Postal Code: | 09224 |
| Phone Number: | 011-49-931804 |
| Fax Number: | 3241 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | NCCPA 1051879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |