Organization
UPMC ALTOONA REGIONAL HEALTH
Active
Parent organization
MEDVANTX, INC.
Other names
UPMC Altoona Blair Medical Associates Altoona Internal Medicine
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
1414 9TH AVE, ALTO TOWER SUITE, ALTOONA, PA 16602-2415
(858) 946-7573
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD068354L
PA
Other
Enumeration date
11/29/2016
Last updated
12/19/2016
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