Organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Active
Parent organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Other names
HVMG Primary Care West
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Authorized official
BRYAN J RANDALL (VICE PRESIDENT & CEO)
(412) 749-7027
Entity
Organization
Contact information
Practice address
6521 STEUBENVILLE PIKE, PITTSBURGH, PA 15205-1005
(724) 773-5890
(724) 773-5892
Mailing address
6521 STEUBENVILLE PIKE, PITTSBURGH, PA 15205-1005
(724) 773-5890
(724) 773-5892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001565446
—
PA
Enumeration date
10/07/2019
Last updated
10/07/2019
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