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Individual

MR. ROBERT J MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3315 HIGH ST, PORTSMOUTH, VA 23707-3319
(757) 399-0759
(757) 397-8957
Mailing address
3315 HIGH ST, PORTSMOUTH, VA 23707-3319
(757) 399-0759
(757) 397-8957

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0102036928
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10010981
SENTARA
VA
01
150684200
OWCP FED WC VIA ACS
01
200374
PHYSICIAN NETWORK
VA
01
265207
BCBS OF VA
01
54-1951442
HEALTH NETWORK
VA
01
54-1951442
CORVEL WC PROVIDER NETWOR
05
5828988
VA
05
790618Z
NC
01
9803412001
CIGNA
01
A1798
MEDCOST
Enumeration date
08/19/2005
Last updated
03/24/2011
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