Individual
MR. DAVID MARK MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
(530) 824-5204
Mailing address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17932
CA
Other
Enumeration date
08/31/2006
Last updated
08/17/2023
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