Organization
MON-VALE SPECIALTY PRACTICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SIMMON (SECRETARY/TREASURER)
(724) 258-1106
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB RD, SUITE 101, MONONGAHELA, PA 15063-1013
(724) 258-2229
Mailing address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
11/06/2012
Last updated
07/24/2020
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