Organization · Type 2 NPI
Marisa C Medina MD PC
Primary Care Clinic/Center · Henderson, NV
NPI number
1104013739
Active
Practice location
11201 S Eastern #120
Henderson, NV 89052-6200
Fax (702) 731-0096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1104013739
Marisa C Medina MD PC's National Provider Identifier is 1104013739, issued on Sep 27, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Henderson, NV. The record was last updated on Nov 14, 2007.