Organization
MMC PHYSICIAN SERVICES INC
Active
Other names
Physician Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTON MONSOUR (CEO)
(724) 527-0603
Entity
Organization
Contact information
Practice address
70 LINCOLN WAY EAST SUITE, PSI CLINIC, JEANNETTE, PA 15644
(724) 527-0408
(724) 527-0487
Mailing address
PO BOX 340, IRWIN, PA 15642
(724) 864-5017
(724) 864-4975
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016515800017
—
PA
Enumeration date
06/24/2006
Last updated
08/22/2020
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