Individual
PAMELA MONDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 BISHOP RANDALL DR, LANDER, WY 82520-3939
(307) 332-4420
(530) 243-0445
Mailing address
PO BOX 492680, REDDING, CA 96049-2680
(530) 243-0440
(530) 243-0445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7004A
WY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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