Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD MEDINA, PAC
ActiveEDWARD MEDINA, PAC is a Physician Assistant healthcare provider located in ALAMOSA, Colorado. NPI 1558351460 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALAMOSA, CO
Registration Details
- NPI Number
- 1558351460
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2005 (20.794202086926 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1115 (CO)
Practice Information
- Address
-
1710 1ST STALAMOSA, CO, 811012302Browse CO providers · Browse ZIP 81101
- Phone
- 7195893658
- Fax
- 7195890997
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALAMOSA, CO
| Name | Credential | NPI |
|---|---|---|
| LATICIA R HOLLINGSWORTH | P.A.-C, ATC | 1336142934 |
| DAVID DABOLL | PAC | 1689663783 |
| JOANN KUNUGI | PAC | 1366432379 |
| KIRK KRITNER | PAC | 1407846405 |
| EDWARD KULP | PAC | 1013907013 |
| JOHNNY B SISNEROS | PAC | 1093705857 |
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.