Individual
DR. JORDAN HOLLY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11160 HURON ST STE 31, NORTHGLENN, CO 80234-3335
(720) 689-4274
(720) 547-1562
Mailing address
11160 HURON ST STE 31, NORTHGLENN, CO 80234-3335
(720) 689-4274
(720) 547-1562
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
054231
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0054231
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024747
KAISER COMMERCIAL NUMBER
CO
05
—
25009371
—
CO
Enumeration date
04/05/2010
Last updated
04/08/2026
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