OrganizationActive
Phillip a Medina MD Inc Ps
NPI 1629194550 · Sports Medicine (Orthopaedic Surgery) Physician · Renton, WA
Provider details
- NPI number
- 1629194550
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phillip Medina, President(425) 226-1180
- License
- MD00028329 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4361 Talbot Rd S Ste 102
Renton, WA 98055-6226
Phone: (425) 226-1180
Fax: (425) 235-0695
Approximate (ZIP-level) locationGet directions
Mailing address
4361 Talbot Rd S Ste 102
Renton, WA 98055-6226
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.