Individual
DR. MARK MENDEZ VIGO
Active
Individual
DR. MARK MENDEZ VIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00023934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50510
L&I
—
05
—
8105017
—
WA
01
—
8924175
L&I CRIME VICTIMS
—
Enumeration date
10/13/2005
Last updated
10/28/2014
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