Phillip A Medina in Renton - Sports Medicine
Phillip A Medina - NPI 1720040371
Phillip A Medina is a Sports Medicine in Renton, Washington. Phillip A Medina practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Phillip A Medina is 1720040371. The last update date is 2013-10-17.
Phillip A Medina's current location address is 4361 Talbot Road S, Renton, Washington. You can contact this provider via phone number 4252261180 and fax number 4252350695. The mailing address for Phillip A Medina is 4361 Talbot Road S, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip A Medina |
|---|---|
| Address | 4361 Talbot Road S, Renton, Washington |
| Phone Number | 4252261180 |
| Fax Number | 4252350695 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720040371 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2013-10-17 |
Provider Mailing Address Detail
| Address | 4361 Talbot Road S |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 98055 |
| Phone Number | 4252261180 |
| Fax Number | 4252350695 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD00028329 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique 10-digit identification code assigned to Phillip A Medina by the Centers for Medicare & Medicaid Services?
The Phillip A Medina has been issued the NPI (National Provider Identifier) 1720040371, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip A Medina is physically located?
The Phillip A Medina is physically situated at the following address: 4361 Talbot Road S, Renton, WA, 98055.
What is Phillip A Medina's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phillip A Medina's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date did the Phillip A Medina receive its 1720040371 assignment from the Centers for Medicare & Medicaid Services?
The Phillip A Medina was assigned its 1720040371 by the Centers for Medicare & Medicaid Services on 2006-04-06.
As of what date were the Phillip A Medina's details last updated?
The information pertaining to the Phillip A Medina, including its address, specialty, and other details, was most recently updated on 2013-10-17.