Organization
MON-VALE PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J. RUSNOCK (VICE PRESIDENT/CONTROLLER)
(724) 258-1160
Entity
Organization
Contact information
Practice address
3701 ROUTE 88, FINLEYVILLE, PA 15332
(724) 348-4299
(724) 348-4321
Mailing address
1163 COUNTRY CLUB RD., MONONGAHELA, PA 15063-1095
(724) 258-1000
(724) 258-1394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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