Organization
ALLIANCE PHYSICIANS, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
Miamisburg Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
415 BYERS RD, SUITE 300, MIAMISBURG, OH 45342-3696
(937) 866-2494
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
35057666
OH
Other
Enumeration date
07/29/2010
Last updated
05/03/2013
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