# MMC PHYSICIAN SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician Services Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366478000
- **Authorized official:** MICHAEL ANTON MONSOUR (CEO)
- **Authorized official phone:** (724) 527-0603

## Contact information

- **Practice address:** 70 LINCOLN WAY EAST SUITE, PSI CLINIC, JEANNETTE, PA 15644
- **Practice address phone:** (724) 527-0408
- **Practice address fax:** (724) 527-0487
- **Mailing address:** PO BOX 340, IRWIN, PA 15642
- **Mailing address phone:** (724) 864-5017
- **Mailing address fax:** (724) 864-4975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016515800017 | — | PA |