PHILLIP A MEDINA

RENTON, WA
NPI1720040371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: WA  MD00028329)
Enumeration Date2006-04-06
Last Update Date2013-10-17
Business Address
-- PHILLIP A MEDINA MD
4361 TALBOT ROAD S #102
RENTON, WA 98055
Phone number: 425-226-1180
Mailing Address
-- PHILLIP A MEDINA MD
4361 TALBOT ROAD S #102
RENTON, WA 98055
Phone number: 425-226-1180
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