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Contact Information

PEDRO G MENDOZA, M.D. FCCP
300 W CENTURY AVE
BISMARCK, ND58503-1401
 Phone: 701-323-9900
 Fax: 701-323-9911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PEDRO G MENDOZA · (Male)

NPI # 1609825132
Status Active
Credentials M.D. FCCP
Entity Individual
Enumeration date 05/10/2006
Last updated 01/05/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 5553
  • ND Medicaid 15689
  • ND Other 22774 BCBS OF ND
  • ND Other N712611 MEDICARE SOLO #
  • ND Other 12293 MEDICIAD GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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