Individual provider · Type 1 NPI

Loreta A. Mendoza, MD

Health Service Clinic/Center · St,louis, MO

NPI number 1881995462 Active

Practice location

1034 S Brentwood Blvd Ste 1250, Forest Park Medical Clinic
St,louis, MO 63117-1263

Call (314) 367-6600 Map

Fax (314) 367-5982

Mailing address

11845 Cresta Verde Dr, Aptc
St. Louis, MO 63146-4746

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X34045 (MO)

Health Service Clinic/Center: Definition to come...

10 other providers at this address

About NPI 1881995462

Loreta A. Mendoza, MD's National Provider Identifier is 1881995462, issued on Nov 12, 2010. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in St,louis, MO. The record was last updated on Nov 12, 2010.