Organization
SQUIRREL HILL FAMILY PRACTICE - UPMC
Active
Parent organization
MEDVANTX, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
5889 FORBES AVE, 2ND FL FORBES SHADY COMMONS, PITTSBURGH, PA 15217-1660
(412) 421-6047
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
MD072290L
PA
Other
Enumeration date
02/12/2007
Last updated
10/17/2012
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