Individual
RAUL IVAN MEDINA SICRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 W INDIAN SCHOOL RD STE 1, PHOENIX, AZ 85015-5112
(602) 782-1880
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125064345
IL
207Q00000X
Family Medicine Physician
Primary
58428
AZ
Other
Enumeration date
06/27/2014
Last updated
06/05/2024
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