Organization
BEHM FAMILY PRACTICE LLC
Active
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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