EDWARD MEDINA

ALAMOSA, CO
NPI1558351460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  1115)
Enumeration Date2005-10-24
Last Update Date2007-07-08
Business Address
-- EDWARD MEDINA PAC
1710 1ST ST
ALAMOSA, CO 81101-2302
Phone number: 719-589-3658
Mailing Address
-- EDWARD MEDINA PAC
1710 1ST ST
ALAMOSA, CO 81101-2302
Phone number: 719-589-3658
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