| NPI | 1831239532 |
|---|---|
| Doing Business As | DEER LAKES MEDICAL ASSOCIATION - CHESWICK |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD053615L) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-06-25 |