| NPI | 1417571498 |
|---|---|
| Doing Business As | MENDOZA PODIATRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN FENTON Credentialing Manager 615-851-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |