NPI | 1760705669 |
---|---|
Doing Business As | MEDICAL GROUP OF WINDBER - RICHLAND |
Entity Type | Organization |
Authorized Contact | KENNY HEINE Sr. Director Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA md025803e) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2012-10-23 |