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

PHILLIP A MEDINA, MD

Active Sole Proprietor

PHILLIP A MEDINA, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in RENTON, Washington. NPI 1720040371 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · RENTON, WA

Registration Details

NPI Number
1720040371
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2006 (20.365301439951 yrs)
Last Updated
Oct 17, 2013
License
MD00028329 (WA)
Sole Proprietor
Yes

Practice Information

Address
4361 TALBOT ROAD S
#102
RENTON, WA, 98055
Browse WA providers · Browse ZIP 98055
Phone
4252261180
Fax
4252350695
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in RENTON, WA

Name Credential NPI
MICHAEL J BATTAGLIA II MD 1023089752
SEAN PAUL HALOMAN M.D. 1831488550
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.