Richard Mark Mendenhall CRNA

NPI 1689736266 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1689736266
Gender Male
Enumeration Date 12/13/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
39400 PASEO PADRE PKWY
FREMONT CA, 94538-2310, US
Phone (510) 784-4305
Fax
Business Location
ABC
ABC NV, 12345-1030, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State California
License Number 989
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According to our database, Richard Mark Mendenhall CRNA NPI is 1689736266, taxonomy code is 367500000X and license number is 989, license state is located at California. Richard Mark Mendenhall CRNA physically located at 39400 Paseo Padre Pkwy, Fremont CA, 94538-2310. NPI Number Richard Mark Mendenhall CRNA has the Individual type.

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1689736266 NPI number is provided on an as is basis without warranty of any kind. 1689736266 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Mark Mendenhall CRNA are for informational purposes only.