Individual
DR. HERNAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6838 N 23RD AVE, PHOENIX, AZ 85015
(602) 864-8800
(602) 864-1448
Mailing address
9590 E IRONWOOD SQUARE DR, STE 125, SCOTTSDALE, AZ 85258-4583
(480) 455-3000
(866) 819-6115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30853
AZ
207R00000X
Internal Medicine Physician
30853
AZ
Other
Enumeration date
01/17/2006
Last updated
12/19/2016
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