Glade Run Medical Associates, Inc.
NPI #1033258694 in Kittanning, Pennsylvania
Provider Information
- NPI Number
- 1033258694
- Entity Type
- Organization
- Organization Name
- Glade Run Medical Associates, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 6, 2007
- Last Updated
- May 3, 2017
Practice Location
- Address
- 300 MEDICAL ARTS BLDG
- Address 2
- SUITE 300
- City
- Kittanning
- State
- Pennsylvania
- ZIP Code
- 16201-7129
- Phone
- (724) 545-1288
Authorized Official
- Name
- MR. SCOTT PETERSON
- Title
- CFO
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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