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DR. MARCIAL J MENDEZ

>> Specialist >> Other Service Providers

Registrant NPI Number: 1407870504

Individual Registrant:
DR. MARCIAL J MENDEZ 
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

Contact information for business:
115 HERREN HILL RD  TALLASSEE, AL 36078-1276 US
Tel: 334-283-3477  Fax: 334-283-4162

Registration Information:
NPI: 1407870504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
AL11939

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
125887AL05




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