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Mark Vincent I Mendoza, DPT

NPI 1124831714 · on the registry since 2025 · sole proprietor

Practice

Address
763 Boyd St
Chubbuck, ID 83202
Phone
(208) 417-9605

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho