Individual
DAVID MICHAEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2421 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 351-8797
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716713
—
AZ
Enumeration date
06/16/2008
Last updated
03/14/2023
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