Individual
DR. MITCHELL A MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11035 KARCHER RD, NAMPA, ID 83651-8200
(208) 302-6600
(208) 302-6655
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-6600
(208) 302-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12578
ID
Other
Enumeration date
06/19/2013
Last updated
08/18/2016
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