Individual
DEBORAH S. MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E DUNLAP AVE, #1-471, PHOENIX, AZ 85020-2807
(602) 944-4626
(602) 396-5800
Mailing address
9327 N 3RD ST, SUITE 206, PHOENIX, AZ 85020-2470
(602) 944-4626
(602) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12965
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000807
RAILROAD MEDICARE
AZ
05
—
232934
—
AZ
Enumeration date
09/26/2005
Last updated
01/25/2013
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