Organization
ROBERT MENNIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MENNIS MD (MD/OWNER)
(305) 798-4388
Entity
Organization
Contact information
Practice address
520 W I ST, LOS BANOS, CA 93635-3419
(209) 826-0591
Mailing address
PO BOX 2128, MERCED, CA 95344-0128
(209) 723-4849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C33289
CA
Other
Enumeration date
02/01/2008
Last updated
07/14/2008
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