Individual
ARMANDO A MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(183) 998-7850
(318) 343-8600
Mailing address
320 STANTON RD APT 525, MOBILE, AL 36617-2458
(121) 056-3061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328829
LA
Other
Enumeration date
03/29/2018
Last updated
05/25/2023
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