Regional Medical Group LLC

NPI #1780002097 in Burgettstown, Pennsylvania

Provider Information

NPI Number
1780002097
Entity Type
Organization
Organization Name
Regional Medical Group LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 3, 2014
Last Updated
Apr 3, 2014

Practice Location

Address
560 STEUBENVILLE PIKE
ZIP Code
15021-8539
Phone
(724) 947-5350

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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