Organization
UROLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. MENDOZA M.D. (PRESIDENT)
(304) 485-7700
Entity
Organization
Contact information
Practice address
418 GRAND PARK DR, SUITE 311, PARKERSBURG, WV 26105-4000
(304) 485-7700
(304) 485-5141
Mailing address
418 GRAND PARK DR, SUITE 311, PARKERSBURG, WV 26105-4000
(304) 485-7700
(304) 485-5141
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01011
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008738000
—
WV
05
—
0710930
—
OH
01
—
CE5112
RAILROAD MEDICARE
WV
Enumeration date
06/04/2006
Last updated
08/22/2020
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