Fayette Physician Network INC
NPI #1053704429 in Masontown, Pennsylvania
Provider Information
- NPI Number
- 1053704429
- Entity Type
- Organization
- Organization Name
- Fayette Physician Network INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Mar 10, 2015
- Last Updated
- Mar 10, 2015
Practice Location
- Address
- 2175 MCCLELLANDTOWN RD
- City
- Masontown
- State
- Pennsylvania
- ZIP Code
- 15461-2593
- Phone
- (724) 583-2819
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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