Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
UPMC Keystone Primary Care- Dr. Paul
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
4099 WILLIAM PENN HWY, SUITE 705, MONROEVILLE, PA 15146-2521
(412) 373-3141
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
MD057335L
PA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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