Organization
MEDICAL GROUP OF WINDBER INC.
Active
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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