Organization
LIMESTONE PRIMARY CARE PHYSICIANS LLP
Active
Parent organization
MEDVANTX, INC.
Other names
Limestone Primary Care Physicians
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
18 LIMESTONE DR, SUITE 5, BUFFALO, NY 14221-8602
(716) 632-1400
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
152190
NY
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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