Organization
GEOFFREY BRYANT MONSOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY BRYANT MONSOUR MD (OWNER)
(724) 834-6410
Entity
Organization
Contact information
Practice address
1500 BROAD ST, GREENSBURG, PA 15601-5469
(724) 834-6410
Mailing address
1500 BROAD ST, GREENSBURG, PA 15601-5469
(724) 834-6410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD032615E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010714730003
—
PA
01
—
1633703
BCBS
PA
Enumeration date
05/14/2007
Last updated
08/22/2020
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