Doctor Name: | DEBBRA ANN MONTOYA |
NPI Number: | 1922328251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 15475 |
Business Practice Address: | 1 Blackfield Dr Suite # 314 Tiburon, CA - 949202053 |
Business Phone Number: | 4157283796 |
Business Fax Number: | 4157895465 |
Mailing Address: | 1 Blackfield Dr, Suite # 314 TIBURON |
State: | CA |
Postal Code: | 949202053 |
Phone Number: | 4157283796 |
Fax Number: | 4157895465 |
NPI Enumeration Date: | 06/09/2010 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 15475 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |