Mendoza, Fred P
Mendoza, Fred P is an individual health care provider with primary practice located at 1055 N. Lacanada Blvd Suite 121, Green Valley AZ 85614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mendoza, Fred P can be contacted via phone (520) 547-7770.Contact Information
Primary practice address
1055 N. Lacanada Blvd Suite 121
Green Valley AZ 85614
Phone: (520) 547-7770
Fax: (520) 547-7775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33077 | Arizona |
Profile Details
| NPI number | 1316935042 |
|---|---|
| LBN Legal business name | Mendoza, Fred P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316935042 | NPPES |
| Arizona | MEDICAID | 871518 |
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