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Organization

PEDRO G. MENDOZA M.D. P.C.

Active
Other names
Pneumos Lung and Sleep Specialist
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PEDRO G MENDOZA M.D. (DOCTOR)
(701) 323-9900
Entity
Organization

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
261QM1300X
Multi-Specialty Clinic/Center
Primary
5553
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N7112610
MEDICARE GROUP
ND
01
P00001966
MEDICARE RAIL ROAD
ND
Enumeration date
05/10/2006
Last updated
04/20/2008
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