Individual provider · Type 1 NPI

Danielle Medina

Military Health Care Provider · Colorado Springs, CO

NPI number 1154746048 Active

Practice location

6208 Lehman Drive, Suite 108
Colorado Springs, CO 80918

Mailing address

220 Ruskin Drive
Colorado Springs, CO 80910

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1154746048

Danielle Medina's National Provider Identifier is 1154746048, issued on Feb 28, 2014. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 28, 2014.