Organization
MOLLY B TROSTLE INTERNAL MEDICINE INC
Active
Parent organization
MEDVANTX, INC
Other names
MOLLY B TROSTLE DO
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (SR DIRECTOR OPS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
881 HILLS PLZ, EBENSBURG, PA 15931-4213
(814) 419-8084
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS011902
PA
Other
Enumeration date
10/05/2011
Last updated
10/23/2012
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