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Organization
P.MONDORF,MD,LLC
Active
Organization
P.MONDORF,MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA E MONDORF MD (OWNER)
(307) 349-9571
Entity
Organization
Contact information
Practice address
2900 EUREKA WAY, REDDING, CA 96001-0220
(530) 225-8700
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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