Individual
EDWARD MEDINA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1710 1ST ST, ALAMOSA, CO 81101-2302
(719) 589-3658
(719) 589-0997
Mailing address
1710 1ST ST, ALAMOSA, CO 81101-2302
(719) 589-3658
(719) 589-0997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840706945169
ROCKY MOUNTAIN HEALTH PLA
CO
Enumeration date
10/24/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us