Organization
MEDINA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERNAN MEDINA MD (MANAGER)
(623) 332-4974
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, SUITE 270, PHOENIX, AZ 85050-4200
(623) 332-4974
(602) 354-3175
Mailing address
PO BOX 10661, PHOENIX, AZ 85064-0661
(623) 332-4974
(602) 354-3175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30853
AZ
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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