Dr Mendoza's Pediatric and Adolscent
Dr Mendoza's Pediatric and Adolscent is a Pediatric Adolescent Medicine Physician in Jackson, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.
- Licensed in
- KY
- In the registry since
- 2008
Practice location Address checks out
424 Jett DrJackson, KY 41339-9621
Phone: (606) 693-4800
Fax: (606) 693-4825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence 33465 (KY) |
|---|
Record details
| NPI number | 1295908101 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edgar Mendoza — Owner · (606) 693-4800 |
| NPI enumerated | April 11, 2008 |
| Last updated in NPPES | July 10, 2014 |
| Mailing address | Po Box 790, Jackson, KY 41339-0790 |