Individual
RICHARD WAYNE MONDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PA-C
Contact information
Practice address
510 JAMISON AVE, ELLWOOD CITY, PA 16117-2590
(724) 716-6742
(724) 734-5798
Mailing address
510 JAMISON AVE, ELLWOOD CITY, PA 16117-2590
(724) 716-6742
(724) 734-5798
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002019L
PA
Other
Enumeration date
10/27/2005
Last updated
11/29/2016
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