| NPI | 1780002097 |
|---|---|
| Doing Business As | REGIONAL MEDICAL GROUP - BURGETTSTOWN |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD033648E) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |