Healthcare Provider Details

I. General information

NPI: 1992933097
Provider Name (Legal Business Name): COURTNEY MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 WASHINGTON ROAD
MCMURRAY PA
15317
US

IV. Provider business mailing address

3075 WASHINGTON ROAD
MCMURRAY PA
15317
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-3002
  • Fax: 724-942-0003
Mailing address:
  • Phone: 724-942-3002
  • Fax: 724-942-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD039819L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD039819L
License Number StatePA

VIII. Authorized Official

Name: DENNIS J. COURTNEY
Title or Position: DOCTOR/OWNER
Credential: MD
Phone: 724-942-3002