Organization
BLAIR MEDICAL ASSOCIATES - HOLLIDAYSBURG
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization
Contact information
Practice address
800 S LOGAN BLVD, SUITE 100, HOLLIDAYSBURG, PA 16648-3050
(814) 947-4321
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
OS005909L
PA
Other
Enumeration date
02/08/2007
Last updated
04/06/2017
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