Organization
PREMIER MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DERUBEIS (CEO)
(412) 457-0060
Entity
Organization
Contact information
Practice address
3824 NORTHERN PIKE, STE 960, MONROEVILLE, PA 15146-2141
(412) 457-0401
(412) 457-0300
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
MD421997
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD421997
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007504600079
—
PA
Enumeration date
07/18/2015
Last updated
07/18/2015
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