Organization
UPMC KEYSTONE PRIMARY CARE - DRS. OU AND TONG
Active
Parent organization
MEDVANTX, INC
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
1000 INFINITY DR, 210, MONROEVILLE, PA 15146-2062
(724) 327-6913
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD030177E
PA
Other
Enumeration date
01/03/2011
Last updated
05/13/2016
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