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DR. MARCIAL J MENDEZ
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1407870504
Individual Registrant:DR. MARCIAL J MENDEZ
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
115 HERREN HILL RD TALLASSEE, AL 36078-1276 US
Tel: 334-283-3477 Fax: 334-283-4162
Tel: 334-283-3477 Fax: 334-283-4162
Contact information for business:
115 HERREN HILL RD TALLASSEE, AL 36078-1276 US
Tel: 334-283-3477 Fax: 334-283-4162
Tel: 334-283-3477 Fax: 334-283-4162
Registration Information:
NPI: 1407870504
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | AL | 11939 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 125887 | AL | 05 |
