Individual
DR. PEDRO G MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. FCCP
Contact information
Practice address
300 W CENTURY AVE, BISMARCK, ND 58503-1401
(701) 323-9900
(701) 323-9911
Mailing address
300 W CENTURY AVE, BISMARCK, ND 58503-1401
(701) 323-9900
(701) 323-9911
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
5553
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12293
MEDICIAD GROUP NUMBER
ND
05
—
15689
—
ND
01
—
22774
BCBS OF ND
ND
01
—
N712611
MEDICARE SOLO #
ND
Enumeration date
05/10/2006
Last updated
01/05/2011
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