Individual
JOHN C MEDLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 W ST MARY'S RD, SUITE 145, TUCSON, AZ 85745-2683
(520) 624-0888
(520) 624-0091
Mailing address
1701 W ST MARY'S RD, SUITE 145, TUCSON, AZ 85745-2683
(520) 624-0888
(520) 624-0091
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12924
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236069
—
AZ
Enumeration date
02/17/2006
Last updated
03/04/2010
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