Organization
PREMIER MEDICAL ASSOCIATES, P.C.
Active
Parent organization
MEDVANTX, INC.
Other names
Premier Medical Associates - Integrity Drive
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
310 RODI RD, PITTSBURGH, PA 15235-3318
(412) 242-0777
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS006063E
PA
Other
Enumeration date
02/08/2007
Last updated
03/20/2015
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