Jose Medina, PA

NPI #1972643534 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1972643534
Entity Type: Individual
Name: Jose Medina, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 6, 2007
Last Updated: May 2, 2014

Practice Location

Address: 4300 W MEMORIAL RD
Address 2: ER DEPT
City: Oklahoma City
State: Oklahoma
ZIP Code: 73120-8304
Phone: (405) 752-3733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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