Marisa C Medina Md Pc | |
11201 S Eastern #120 Henderson NV 89052-6200 | |
(702) 731-9711 | |
(702) 731-0096 |
Full Name | Marisa C Medina Md Pc |
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Speciality | Clinic/center - Primary Care |
Location | 11201 S Eastern #120, Henderson, Nevada |
Authorized Official Name and Position | Marisa C Medina (DOCTOR) |
Authorized Official Contact | 7029329824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marisa C Medina Md Pc 11201 S Eastern #120 Henderson NV 89052-6200 Ph: (702) 731-9711 | Marisa C Medina Md Pc 11201 S Eastern #120 Henderson NV 89052-6200 Ph: (702) 731-9711 |
NPI Number | 1104013739 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
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1104013739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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