Organization
MONARCH MEDICAL MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL PETIPRIN (CEO)
(512) 550-8828
Entity
Organization
Contact information
Practice address
4100 DUVAL RD, BLDG 3, SUITE 100, AUSTIN, TX 78759-3550
(512) 550-8828
Mailing address
PO BOX 201652, AUSTIN, TX 78720-1652
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
01/10/2020
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