Organization
MON-VALE SPECIALTY PRACTICES, INC
Active
Other names
Mon-Vale Breast Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SIMMONS (SECRETARY/TREASURER)
(724) 258-1106
Entity
Organization
Contact information
Practice address
2001 WATERDAM PLAZA DR, SUITE 108, MC MURRAY, PA 15317-5416
(724) 942-0010
(724) 942-0040
Mailing address
1163 COUNTRY CLUB RD, ATTENTION DANIEL SIMMONS, MONONGAHELA, PA 15063-1013
(724) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD023828E
PA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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