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Organization

PRIME MEDICAL GROUP PC

Active
Parent organization
MEDVANTX, INC.
Other names
Prime Medical Group - Rostraver
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
1645 ROSTRAVER RD, BELLE VERNON, PA 15012-9655
(724) 929-2260
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
MD063217L
PA

Other

Enumeration date
06/11/2010
Last updated
12/16/2013
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