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Individual

DR. THOMAS MENDOZA ALABANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 MAIN ST, SUITE 204, DANVILLE, VA 24541-1828
(434) 791-4648
(434) 793-2631
Mailing address
P.O. BOX 1280, DANVILLE, VA 24543-1280
(434) 791-4648
(434) 793-2631

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101022214
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006092683
VA
Enumeration date
05/17/2006
Last updated
03/01/2010
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