Organization
FAMILY HEALTHSERVICES MINNESOTA, P.A
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization
Contact information
Practice address
911 MARYLAND AVE E, SAINT PAUL, MN 55106-2647
(651) 776-2719
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
39915
MN
Other
Enumeration date
02/12/2007
Last updated
04/11/2017
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