Edwin Medina, M.D. Valid NPI

Individual provider · Family Medicine Physician · Malta, MT

NPI

1356487201

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

9635 (MT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-29

Last updated

2023-01-18