Edward Medina, PAC

NPI #1558351460 in Alamosa, Colorado

Provider Information

NPI Number: 1558351460
Entity Type: Individual
Name: Edward Medina, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 24, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1710 1ST ST
City: Alamosa
State: Colorado
ZIP Code: 81101-2302
Phone: (719) 589-3658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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