Individual
DR. DANIEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 101A, HENDERSONVILLE, TN 37075-2329
(615) 822-9651
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 452-8919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0442
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3352215
—
TN
Enumeration date
12/27/2005
Last updated
09/05/2023
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