Organization
PREMIER MEDICAL ASSOCIATES, P.C.
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIR. OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
100 FOREST HILLS PLAZA, PITTSBURGH, PA 15221
(412) 825-0500
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
(858) 625-2999
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD040267E
PA
Other
Enumeration date
02/09/2007
Last updated
10/17/2012
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