STACY D MEDINA

SPRINGFIELD, IL
NPI1750069126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009740)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
STACY D MEDINA PA-C
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
Mailing Address
STACY D MEDINA PA-C
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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