Individual
MARCIA ANN MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 PATTERSON RD, GRAND JUNCTION, CO 81506-8219
(970) 244-6100
(970) 255-1809
Mailing address
PO BOX 62, GRAND JUNCTION, CO 81502-0062
(970) 244-6100
(970) 255-1809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39583244
—
CO
Enumeration date
06/27/2005
Last updated
11/18/2007
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