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Organization
MMC PHYSICIAN SERVICES INC
Active
Organization
MMC PHYSICIAN SERVICES INC
Active
Other names
Physician Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTON MONSOUR (CEO)
(724) 527-0603
Entity
Organization
Contact information
Practice address
70 LINCOLN WAY EAST SUITE, PSI CLINIC, JEANNETTE, PA 15644
(724) 527-0408
(724) 527-0487
Mailing address
PO BOX 340, IRWIN, PA 15642
(724) 864-5017
(724) 864-4975
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016515800017
—
PA
Enumeration date
06/24/2006
Last updated
08/22/2020
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