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NPI 1831239532

OrganizationActive

Deer Lakes Medical Association

NPI 1831239532 · Non-Pharmacy Dispensing Site · Cheswick, PA

Provider details

NPI number: 1831239532
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Director of Operations
License: MD053615L (PA)

Practice location

221 Russellton Dorseyville Rd

Cheswick, PA 15024-2004

Phone: (412) 767-5387

More PA providers

Mailing address

5810 Nancy Ridge Dr

San Diego, CA 92121-2834

Registry dates

Enumerated: 2007-02-08
Last updated: 2008-06-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Deer Lakes Medical Association — NPI 1831239532, Cheswick, PA | NPI Central