Individual
DR. MARCIAL J MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
(334) 283-4162
Mailing address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
(334) 283-4162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125887
—
AL
Enumeration date
07/26/2006
Last updated
05/23/2012
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