Individual
CHRISTIAN O MCMONIGAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 ELK ST, COUDERSPORT, PA 16915-9601
(814) 274-5577
(814) 274-8709
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069453
NCCPA NUMBER
PA
Enumeration date
03/23/2006
Last updated
04/01/2021
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