Organization
PHYSICIAN LANDING ZONE PC
Active
Parent organization
MEDVANTX, INC.
Other names
Cranberry Internal Medicine Wexford
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
9500 BROOKTREE RD, SUITE 100, WEXFORD, PA 15090-9227
(412) 551-4381
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
MD056332L
PA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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