Organization
TYRONE MEDICAL ASSOCIATES
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
ANNA M ANNA (CEO)
(814) 684-1255
Entity
Organization
Contact information
Practice address
225 HOSPITAL DR, TYRONE, PA 16686-1827
(814) 684-3101
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
MD050865L
PA
Other
Enumeration date
12/23/2009
Last updated
05/09/2019
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