Organization
MEDICAL ASSOCIATES OF ERIE, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
MILLCREEK MEDICAL ARTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
5637 PEACH ST, ERIE, PA 16509-2605
(814) 864-0690
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
OS04951L
PA
Other
Enumeration date
10/17/2012
Last updated
10/23/2012
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