MR. Alfredo Menchaca III

NPI #1538551031 in Gary, Indiana

Provider Information

NPI Number: 1538551031
Entity Type: Individual
Name: MR. Alfredo Menchaca III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Feb 20, 2015
Last Updated: Feb 20, 2015

Practice Location

Address: 5601 W 5TH AVE
City: Gary
State: Indiana
ZIP Code: 46406-1405
Phone: (608) 387-6082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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