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Individual

DAVID MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9323 E BAHIA DRIVE STE 200, SCOTTSDALE, AZ 85260
(480) 562-6610
(520) 463-4419
Mailing address
9323 E BAHIA DR STE 100, SCOTTSDALE, AZ 85260
(480) 562-6610
(520) 463-4419

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
21441
AZ
2085P0229X
Pediatric Radiology Physician
21441
AZ
2085R0202X
Diagnostic Radiology Physician
21441
AZ
2085R0203X
Therapeutic Radiology Physician
21441
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
21441
AZ
2085U0001X
Diagnostic Ultrasound Physician
21441
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213330
AZ
Enumeration date
05/09/2006
Last updated
12/28/2022
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