Mon-Vale Specialty Practices, INC
Surgery in Mc Murray, PA. Organization (NPI-2).
NPI number1154736619
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1154736619
- Entity type
- Organization (NPI-2)
- Legal business name
- Mon-Vale Specialty Practices, INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2014
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD023828E | PA | Yes |
Other names
- Mon-Vale Breast Care (Doing Business As)
Practice location
2001 Waterdam Plaza DrSuite 108
Mc Murray, PA 15317-5416
Phone 724-942-0010 · Fax 724-942-0040
Mailing address
1163 Country Club RdAttention Daniel Simmons
Monongahela, PA 15063-1013
Phone 724-258-1106
Authorized official
Daniel Simmons
Secretary/Treasurer
7242581106
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