Individual
DR. PAULA REBECCA MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1024 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-2338
(208) 365-0677
Mailing address
1024 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-2338
(208) 365-0677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-0674
ID
208600000X
Surgery Physician
OP60067853
WA
Other
Enumeration date
07/25/2006
Last updated
12/20/2012
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