Organization
MARK D, ALLISON, MD, A PROFESSIONAL COMPANY
Active
Parent organization
MEDVANTX, INC.
Other names
Mark D. Allison, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERTATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
4100 CENTRAL AVE, 106, RIVERSIDE, CA 92506-2933
(951) 788-8332
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A51300
CA
Other
Enumeration date
04/02/2009
Last updated
03/30/2011
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