Individual
MR. PHILLIP MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503
(907) 743-7200
Mailing address
4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
(907) 743-7200
(907) 743-7241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50669
CO
207Q00000X
Family Medicine Physician
MD60167455
WA
207Q00000X
Family Medicine Physician
MR-0939
ID
Other
Enumeration date
07/11/2007
Last updated
01/09/2019
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