Organization
MON VALLEY SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENE WESLEY DAUGHERTY D.O. (OWNER / CHAIRMAN)
(814) 590-2104
Entity
Organization
Contact information
Practice address
90 CHAMBER PLZ, CHARLEROI, PA 15022-1620
(724) 565-1121
Mailing address
90 CHAMBER PLZ, CHARLEROI, PA 15022-1620
(724) 565-1121
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS018443
PA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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