Organization
PHILLIP MENDOZA MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MENDOZA MD (PHYSICIAN OWNER)
(303) 960-7516
Entity
Organization
Contact information
Practice address
20 S 5TH AVE STE D, BRIGHTON, CO 80601-2179
(303) 960-7516
Mailing address
20 S 5TH AVE STE D, BRIGHTON, CO 80601-2179
(303) 960-7516
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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