Individual
DR. CHRISTOPHER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
CONCOURSE 4 MICRONESIA MALL, IDEAL OPTICAL, DEDEDO, GU 96929
(671) 637-8141
Mailing address
PO BOX 24724, BARRIGADA, GU 96921-4724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL-029
GU
152WC0802X
Corneal and Contact Management Optometrist
OL-029
GU
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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