Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX INC
Other names
Stull, Jarvis, and Spinola Internal Medicine Associates - UPMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
5215 CENTRE AVE, 100, PITTSBURGH, PA 15232-1303
(858) 625-2990
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
MD071939L
PA
Other
Enumeration date
06/05/2008
Last updated
05/07/2013
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