Phillip A Medina Md Inc Ps in Renton - Sports Medicine
Phillip A Medina Md Inc Ps - NPI 1629194550
Phillip A Medina Md Inc Ps is a Sports Medicine in Renton, Washington. Phillip A Medina Md Inc Ps practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Phillip A Medina Md Inc Ps is 1629194550. The last update date is 2020-08-22.
Phillip A Medina Md Inc Ps's current location address is 4361 Talbot Rd S Ste 102, Renton, Washington. You can contact this provider via phone number 4252261180 and fax number 4252350695. The mailing address for Phillip A Medina Md Inc Ps is 4361 Talbot Rd S Ste 102, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phillip A Medina Md Inc Ps |
|---|---|
| Address | 4361 Talbot Rd S Ste 102, Renton, Washington |
| Phone Number | 4252261180 |
| Fax Number | 4252350695 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Medina A Phillip |
| Credentials | MD |
| Telephone Number | 4252261180 |
NPI Number Detail
| NPI Number | 1629194550 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4361 Talbot Rd S Ste 102 |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980556226 |
| Phone Number | 4252261180 |
| Fax Number | 4252350695 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD00028329 |
|
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 identifier code issued to Phillip A Medina Md Inc Ps by the Centers for Medicare & Medicaid Services?
The Phillip A Medina Md Inc Ps has been assigned the NPI (National Provider Identifier) 1629194550 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Phillip A Medina Md Inc Ps?
The Phillip A Medina Md Inc Ps is physically situated at 4361 Talbot Rd S Ste 102, in the city of Renton, state of WA, with the postal code 980556226.
What is Phillip A Medina Md Inc Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phillip A Medina Md Inc Ps is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Xx0005X.
On what date did Phillip A Medina Md Inc Ps receive its 1629194550 assignment from the Centers for Medicare & Medicaid Services?
The Phillip A Medina Md Inc Ps was assigned its 1629194550 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Phillip A Medina Md Inc Ps's details last updated?
The information pertaining to the Phillip A Medina Md Inc Ps, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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