Individual
MIGUEL L. MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
701 DALE AVE, BENTON CITY, WA 99320-5250
(509) 588-4075
(509) 588-4197
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA60464236
WA
363A00000X
Physician Assistant
PA16427
CA
Other
Enumeration date
06/12/2006
Last updated
08/04/2014
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