Organization
PREMIER MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DERUBEIS (CEO)
(412) 457-0060
Entity
Organization
Contact information
Practice address
2140 ARDMORE BLVD, STE 150, PITTSBURGH, PA 15221-4860
(412) 271-2400
(412) 271-0162
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD039248E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007504600079
—
PA
Enumeration date
07/21/2015
Last updated
07/25/2016
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