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Organization
MON VALE CLINICAL PROFESSIONALS, INC.
Active
Organization
MON VALE CLINICAL PROFESSIONALS, INC.
Active
Parent organization
MON-VALE SPECIALTY PRACTICES, INC.
Other names
Mon-Vale Anesthesia Professionals
Organization subpart
Yes
Provider details
NPI number
Legal business name
MON-VALE SPECIALTY PRACTICES, INC.
Authorized official
MR. DANIEL F SIMMONS CPA (SR. VICE PRESIDENT/TREASURER)
(724) 258-1160
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 258-1160
Mailing address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 258-1160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/14/2015
Last updated
12/10/2020
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