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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIGUEL L. MEDRANO, P.A.

Active

MIGUEL L. MEDRANO, P.A. is a Physician Assistant healthcare provider located in BENTON CITY, Washington. NPI 1639111586 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BENTON CITY, WA

Registration Details

NPI Number
1639111586
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2006 (20.172389857689 yrs)
Last Updated
Aug 4, 2014
Licenses
PA16427 (CA)
OA60464236 (WA)

Practice Information

Address
701 DALE AVE
BENTON CITY, WA, 993205250
Browse WA providers · Browse ZIP 99320
Phone
5095884075
Fax
5095884197
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
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.