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NPI Code Detail

MEDICARE: DR. WILLIAM RICARDO MONTIEL M.D.

MEDICARE:  DR. WILLIAM RICARDO MONTIEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician18168AL

General Provider Information

NPI Number : 1134332539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RICARDO MONTIEL M.D.
Provider Business Mailing Address
First Line : 554 MCQUEEN SMITH RD N
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-5558
Country : US
Telephone Number : 334-358-0010
Fax Number : 334-358-0012
Provider Business Practice Location Address
First Line : 554 MCQUEEN SMITH RD N
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-5558
Country : US
Telephone Number : 334-358-0010
Fax Number : 334-358-0012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 04/25/2012

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