Dr. William Harland Montgomery III
Sports Medicine Doctor Orthopaedic Surgeon
1 Shrader St
San Francisco
, California 94117
Dr. William Harland Montgomery III
Sports Medicine Doctor Orthopaedic Surgeon
1 Shrader St
San Francisco
, California 94117
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About
Features
Specialties
- Sports Medicine Doctor
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Harland Montgomery III
- 3400 Data Dr Attn: Credentialing/payer Enrollment
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Dr. William Harland Montgomery III
- 1 Shrader St
- San Francisco, CA
- Zip : 94117
- Fax : (415) 221-0687
- Phone : (415) 221-0665
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | G71232 | CA |
| Y | 207X00000X | Orthopaedic Surgeon | G71232 | CA |
National Provider Identifier
| NPI | 1881756450 |
|---|---|
| Provider Name | Dr. William Harland Montgomery III |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | San Francisco, CA 94117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2006 |
| Last Update Date | 16/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G712320 | (05) | CA |
| F15735 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.