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Organization
PRI-MED CARE INC
Active
Organization
PRI-MED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOHN MONSOUR M.D. (MEDICAL DIRECTOR)
(724) 836-4473
Entity
Organization
Contact information
Practice address
4479 RTE 136, GREENSBURG, PA 15601-6413
(724) 836-4473
(724) 836-3835
Mailing address
4479 RTE 136, GREENSBURG, PA 15601-6413
(724) 836-4473
(724) 836-3835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-0524125-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490757001
—
PA
Enumeration date
09/29/2010
Last updated
09/29/2010
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