Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
Craig Medical Associates-Passavant
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
9104 BABCOCK BLVD, SUITE 6111, PITTSBURGH, PA 15237-5818
(412) 366-6841
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
MD035609E
PA
Other
Enumeration date
03/12/2015
Last updated
03/29/2017
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