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Individual

DR. MICHAEL CATALINO MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2590
(304) 422-3924
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 422-3904
(304) 422-3924

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1508
WV
207L00000X
Anesthesiology Physician
34007349
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061281000
WV
05
0210275
OH
Enumeration date
10/10/2005
Last updated
08/29/2022
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