Organization
BEHM FAMILY PRACTICE LLC
Active
Parent organization
MEDVANTX, INC.
Other names
Behm Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
JOHN L BEHM MD (PHYSICIAN)
(724) 940-0300
Entity
Organization
Contact information
Practice address
2500 BROOKTREE RD, SUITE 200, WEXFORD, PA 15090-9278
(724) 940-0300
Mailing address
2500 BROOKTREE RD STE 200, WEXFORD, PA 15090-9278
(724) 940-0300
(724) 940-0301
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD060134L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15935110006
—
PA
Enumeration date
04/08/2011
Last updated
02/28/2019
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