Organization
MEDICAL GROUP OF WINDBER INC.
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
500 SOMERSET STREET, WINDBER, PA 15963
(814) 467-3400
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
MD021742E
PA
Other
Enumeration date
03/18/2010
Last updated
11/18/2016
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