Individual
DR. FREDRIC STEVEN MENDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2322 NINTH AVENUE, SAN FRANCISCO, CA 94116-1937
(415) 759-1979
Mailing address
2322 NINTH AVENUE, SAN FRANCISCO, CA 94116-1937
(415) 759-1979
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A24300
CA
208D00000X
General Practice Physician
A24300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A243000
—
CA
Enumeration date
03/09/2006
Last updated
08/31/2012
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