Individual
DR. JAMES MICHAEL MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 NIGHTINGALE RD BLDG 5525, EDWARDS AFB, CA 93524-0001
(661) 275-2750
Mailing address
30 NIGHTINGALE RD BLDG 5525, EDWARDS AFB, CA 93524-0001
(661) 275-2750
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
OS016249
PA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
OS016249
PA
208D00000X
General Practice Physician
OS016249
PA
Other
Enumeration date
07/01/2011
Last updated
03/25/2023
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