Individual
JOHN RICHARD MENDIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DRIVE, SUITE 201, SANTA ROSA, CA 95403
(707) 521-7788
(707) 521-1309
Mailing address
3883 AIRWAY DRIVE, SANTA ROSA, CA 95403
(707) 521-7788
(707) 521-7789
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G40321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403210
—
CA
Enumeration date
07/03/2006
Last updated
11/01/2013
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