Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN MEDINA, M.D.
Active Sole ProprietorDR. EDWIN MEDINA, M.D. is a Family Medicine healthcare provider located in MALTA, Montana. NPI 1356487201 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MALTA, MT
Registration Details
- NPI Number
- 1356487201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2007 (19.535148935192 yrs)
- Last Updated
- Jan 18, 2023
- License
-
9635 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
830 S CENTRAL AVEMALTA, MT, 59538Browse MT providers · Browse ZIP 59538
- Phone
- 4063902596
- Fax
- 4066542571
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.