Individual
DR. DAVID C. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
604 ANN ST, PARKERSBURG, WV 26101-5122
(304) 865-5155
(304) 865-5156
Mailing address
600 18TH ST, SUITE 303, PARKERSBURG, WV 26101-3231
(304) 424-4593
(304) 424-4017
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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