Sewickley Primary Care, LLC
NPI #1285777136 in Sewickley, Pennsylvania
Provider Information
- NPI Number
- 1285777136
- Entity Type
- Organization
- Organization Name
- Sewickley Primary Care, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX,INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 701 BROAD ST
- Address 2
- SUITE 4B - 4TH FLOOR
- City
- Sewickley
- State
- Pennsylvania
- ZIP Code
- 15143-1652
- Phone
- (412) 741-0985
Authorized Official
- Name
- KENNY HEINE
- Title
- DIR. OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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