Individual
DR. JAMESON TRAVIS MENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7420 REMCON CIR STE A, EL PASO, TX 79912-3537
(915) 422-0154
Mailing address
5044 E BAKER ST, TUCSON, AZ 85711-2123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R75045
AZ
2085R0001X
Radiation Oncology Physician
Primary
S3024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R75045
ARIZONA MEDICAL BOARD
AZ
Enumeration date
05/19/2015
Last updated
06/02/2020
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