Mendoza, Pedro G

Mendoza, Pedro G is an sole proprietor health care provider with primary practice located at 300 W Century Ave , Bismarck ND 58503-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mendoza, Pedro G can be contacted via phone (701) 323-9900.

Contact Information

Primary practice address
300 W Century Ave Bismarck ND 58503-1401
Phone: (701) 323-9900
Fax: (701) 323-9911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 5553 North Dakota

Profile Details

NPI number 1609825132
LBN Legal business name Mendoza, Pedro G
Credentials M.D. FCCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jan 5th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609825132 NPPES
North Dakota MEDICAID 15689
North Dakota Other N712611
North Dakota Other 12293
North Dakota Other 22774

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