Deer Lakes Medical Association

NPI #1831239532 in Cheswick, Pennsylvania

Provider Information

NPI Number
1831239532
Entity Type
Organization
Organization Name
Deer Lakes Medical Association
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 8, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
221 RUSSELLTON DORSEYVILLE RD
ZIP Code
15024-2004
Phone
(412) 767-5387

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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