Walworth Medical Associates, P.c.

NPI #1104967074 in Greensburg, Pennsylvania

Provider Information

NPI Number
1104967074
Entity Type
Organization
Organization Name
Walworth Medical Associates, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Oct 16, 2012

Practice Location

Address
1275 S MAIN ST
Address 2
SUITE 102
ZIP Code
15601-5385
Phone
(724) 837-4000

Authorized Official

Name
MR. KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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