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Organization

WILLIAM R. SONNENBERG, MD

Active
Parent organization
MEDVANTX, INC.
Other names
William R. Sonnenberg, MD
Organization subpart
Yes

Provider details

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

Contact information

Practice address
119 E MECHANIC ST, TITUSVILLE, PA 16354-2161
(814) 827-4665
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
MD025681E
PA

Other

Enumeration date
02/21/2008
Last updated
10/22/2012
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