Organization
PHILLIP A MEDINA MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP A MEDINA MD (PRESIDENT)
(425) 226-1180
Entity
Organization
Contact information
Practice address
4361 TALBOT RD S STE 102, RENTON, WA 98055-6226
(425) 226-1180
(425) 235-0695
Mailing address
4361 TALBOT RD S STE 102, RENTON, WA 98055-6226
(425) 226-1180
(425) 235-0695
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD00028329
WA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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