Organization
MARISA C MEDINA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISA C MEDINA MD (DOCTOR)
(702) 932-9824
Entity
Organization
Contact information
Practice address
11201 S EASTERN #120, HENDERSON, NV 89052-6200
(702) 731-9711
(702) 731-0096
Mailing address
11201 S EASTERN #120, HENDERSON, NV 89052-6200
(702) 731-9711
(702) 731-0096
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
11/14/2007
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