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Organization

ALLEGHENY MEDICAL PRACTICE NETWORK

Active
Parent organization
MEDVANTX,INC
Other names
Pine Richland Medical Associates
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
5375 WILLIAM FLYNN HWY, RICHLAND MALL, GIBSONIA, PA 15044-9666
(724) 444-4700
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
OS008315L
PA

Other

Enumeration date
02/09/2007
Last updated
10/10/2014
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