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Organization

JOSEPH SANTIESTEBAN, MD

Active
Parent organization
MEDVANTX, INC.
Other names
Joseph Santiesteban, MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization

Contact information

Practice address
3212 MAIN ST, MUNHALL, PA 15120-3230
(412) 462-1800
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD039877L
PA

Other

Enumeration date
02/09/2007
Last updated
10/16/2012
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