Organization
WASHINGTON PHYSICIANS GROUP - DENNIS DAVIS
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
190 N MAIN ST, 2ND FLR SUITE 204, WASHINGTON, PA 15301-4349
(724) 223-8626
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
MD021236E
PA
Other
Enumeration date
11/10/2011
Last updated
01/03/2014
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