Organization
INTERNAL MEDICINE PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLO M MENDOZA MD (DOCTOR)
(812) 446-3278
Entity
Organization
Contact information
Practice address
1011 E. NATIONAL AVE, BRAZIL, IN 47834
(812) 446-3278
(812) 446-3508
Mailing address
1011 E. NATIONAL AVE, BRAZIL, IN 47834
(812) 446-3278
(812) 446-3508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01049692
IN
207R00000X
Internal Medicine Physician
01049698
IN
Other
Enumeration date
05/18/2010
Last updated
07/10/2015
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