Individual
JOSE LUIS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 N POINTE BLVD, MOUNT AIRY, NC 27030-2267
(336) 786-4133
(336) 783-3417
Mailing address
PO BOX 1267, MOUNT AIRY, NC 27030-1267
(336) 786-4133
(336) 783-3417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-00580
NC
Other
Enumeration date
05/04/2017
Last updated
07/21/2020
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