Individual
ALBERTO SEGUNDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
521 W THOMAS RD FL 2, PHOENIX, AZ 85013-4241
(602) 254-0390
(888) 846-8757
Mailing address
13407 N 25TH DR, PHOENIX, AZ 85029-1401
(407) 427-5706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001267-PA
PR
363A00000X
Physician Assistant
Primary
9682
AZ
Other
Enumeration date
08/06/2019
Last updated
10/03/2023
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