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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1316935042 NPPES
Arizona MEDICAID 871518

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