Individual
RAUL MENDOZA-AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42580
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104386082
—
MI
01
—
290013377
RAILROAD
WI
05
—
34036200
—
WI
Enumeration date
06/24/2006
Last updated
01/19/2024
Update your record
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