Ambrosio P Mendiola MD LLC
Organization Active NPI Family Medicine Physician · Fredonia, KS
NPI 1023318375 · NPPES record last updated Nov 11, 2010
Key facts
- NPI
- 1023318375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-19733 (KS)
- Legal business name
- AMBROSIO P MENDIOLA MD LLC
- Practice address
- 1525 Madison St
Suite 3
Fredonia, KS 66736-1703 - Phone
- (620) 378-3700
- Fax
- (620) 378-3536
- NPI assigned
- Nov 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Ambrosio P Mendiola, MD
- Title
- Medical Doctot
- Phone
- (620) 378-3700
National Provider Directory
Locations
1525 Madison St
Ste 3
Fredonia, KS 66736
Phone (620) 378-2061
406 Kansas
Longton, KS 67352
Phone (620) 378-3341
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 04-19733 | KS | Yes |
Addresses
Primary practice location
1525 Madison St
Suite 3
Fredonia, KS 66736-1703
Mailing address
1525 Madison St
Suite 3
Fredonia, KS 66736-1703
Phone (620) 378-3700
Other providers in Fredonia, KS
- Advanced Healthcare Associates, LLC
- Oswaldo Cruz Bacani Sr.
- Koralyn Dawn Barkman
- James E Clay
- Ronald Guy Cleverley
- County of Wilson
All providers in Fredonia, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.