Whalio Doctors

NPI 1033258694

Glade Run Medical Associates, INC.

Organisation Non-Pharmacy Dispensing Site Kittanning, PA

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
Suppliers Taxonomy 332900000X Licence OS016078 (PA)

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.