Individual
JOSEPH MEDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N 52ND ST APT 2010, PHOENIX, AZ 85008-7934
(480) 238-6234
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 238-6234
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242146
AZ
Other
Enumeration date
06/10/2020
Last updated
06/12/2020
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