Individual
DR. ANECTO MENDOZA GALLARDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-7511
Mailing address
2024 REED ST, GRINNELL, IA 50112-1030
(641) 236-3450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35742
IA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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