Individual
ROBERT MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
10010 W GEIGER BLVD, SPOKANE, WA 99224-9471
(847) 902-9786
Mailing address
23223 E MAXWELL AVE, LIBERTY LAKE, WA 99019-8559
(847) 902-9786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002656
VA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/04/2017
Last updated
12/19/2024
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