NPI 1073873303
Osteopathic Internal Medicine
Practice location
- Address
- 2010 W 38th St 1, Erie, PA 16508-2004
- Phone
- (814) 868-5481
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Vp Ops
- Phone
- (858) 964-1508
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1073873303
- Entity type
- Organization
- NPI issued
- 21 May 2012
- Record last updated
- 25 Oct 2012
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.