Organization
HERITAGE VALLEY MEDICAL GROUP INC
Active
Parent organization
MEDVANTX INC
Other names
HERITAGE VALLEY FAMILY PRACTICE - ROBINSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY GREEN (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
6521 STEUBENVILLE PIKE, A, PITTSBURGH, PA 15205-1005
(412) 749-6920
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS010074L
PA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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