Organization
AMBROSIO P MENDIOLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBROSIO P MENDIOLA MD (MEDICAL DOCTOT)
(620) 378-3700
Entity
Organization
Contact information
Practice address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
(620) 378-3536
Mailing address
1525 MADISON ST, SUITE 3, FREDONIA, KS 66736-1703
(620) 378-3700
(620) 378-3536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-19733
KS
Other
Enumeration date
11/02/2010
Last updated
11/11/2010
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