Individual provider · NPI-1

Dr. Julissa Mendoza, M.D.

Family Medicine · Fort Rucker, AL

NPI number1528356771
StatusActive
Last updated in NPPESJul 7, 2026

Details

NPI
1528356771
Entity type
Individual (NPI-1)
Name
Dr. Julissa Mendoza
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2011
Certification date
Jul 7, 2026
Last updated
Jul 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101253176VAYes
2083A0100X Preventive Medicine, Aerospace Medicine0101253176VA

Practice location

301 Andrews Ave
Fort Rucker, AL 36362

Phone 334-255-7463

Mailing address

301 Andrews Ave
Fort Rucker, AL 36362

Phone 334-255-7463

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