Mendoza, Juan Daniel

Mendoza, Juan Daniel is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mendoza, Juan Daniel can be contacted via phone (762) 408-2001.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Moore GA 31905-2102
Phone: (762) 408-2001
Fax: (762) 408-2054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 31009 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31009 Nebraska

Profile Details

NPI number 1083148126
LBN Legal business name Mendoza, Juan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2017
Last updated Jul 10th, 2024 - about last year

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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