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Individual
DR. DAVID C. MENDOZA
Active
Individual
DR. DAVID C. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18562
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00361091
RAILROAD MEDICARE
OH
01
—
00368861
RAILROAD MEDICARE
WV
01
—
005292138
AETNA
WV
01
—
00891585
BLUE CROS BLUE SHIELD
WV
05
—
0130407000
—
WV
05
—
0276339
—
OH
Enumeration date
06/13/2006
Last updated
01/13/2021
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