Fayette Physician Network Inc
Fayette Physician Network Inc is a Non-Pharmacy Dispensing Site in Masontown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.
- Licensed in
- PA
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2175 McClellandtown RdMasontown, PA 15461-2593
Phone: (724) 583-2819
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence MD417327 (PA) |
|---|
Record details
| NPI number | 1053704429 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Fayette Physician Network-Masontown |
| NPI enumerated | March 10, 2015 |
| Last updated in NPPES | March 10, 2015 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |