NPI 1033258694
Glade Run Medical Associates, INC.
Practice location
- Address
- 300 Medical Arts Bldg Suite 300, Kittanning, PA 16201-7129
- Phone
- (724) 545-1288
- Mailing address
- 9276 Scranton Rd Suite 100, San Diego, CA 92121-7701
Authorised official
- Name
- Scott Peterson
- Title
- Cfo
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1033258694
- Entity type
- Organization
- NPI issued
- 6 Feb 2007
- Record last updated
- 3 May 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.