Excela Practice Physicians Inc.
NPI #1740506245 in Jeannette, Pennsylvania
Provider Information
- NPI Number
- 1740506245
- Entity Type
- Organization
- Organization Name
- Excela Practice Physicians Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 9, 2010
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 600 JEFFERSON AVE
- City
- Jeannette
- State
- Pennsylvania
- ZIP Code
- 15644-2539
- Phone
- (724) 527-9375
Authorized Official
- Name
- KENNY HEINE
- Title
- SR. DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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