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Individual

DR. ANDREW JAMES MEDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-9484
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-9484

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207P00000X
Emergency Medicine Physician
Primary
1711
NE
207P00000X
Emergency Medicine Physician
DO-P-2023-002
GU

Other

Enumeration date
06/28/2016
Last updated
07/13/2026
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