Individual
DAVID MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-4000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN610613
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
231975
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416
—
CA
05
—
RN6106130
—
CA
Enumeration date
12/08/2006
Last updated
02/24/2025
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