Organization
UPMC MCKEESPORT INTERNAL MEDICINE CENTER
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 645-2990
Entity
Organization
Contact information
Practice address
1500 FIFTH AVE, KELLEY BUILDING, FIRST FLOOR, MCKEESPORT, PA 15132-2422
(412) 664-2782
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
MD056184L
PA
Other
Enumeration date
02/26/2008
Last updated
10/22/2012
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