Organization
NORTHERN ANESTHESIA PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIL F MENDOZA MD (PRESIDENT)
(260) 338-1660
Entity
Organization
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2523
(260) 338-1660
Mailing address
11518 TILLBURY CV, FORT WAYNE, IN 46845-2138
(260) 338-1660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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