NPI 1023305018

Shaun Douglas Mendenhall, MD

Practitioner Plastic Surgery Physician Philadelphia, PA

Practice location

Address: 3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone: (215) 590-2208
Fax: (215) 590-2496
Mailing address: 30 N 1900 E Rm 6152, Salt Lake City, UT 84132-0002

Registered specialties (4)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD460847 (PA)

Other Plastic Surgery providers in Pennsylvania →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 10742767-1205 (UT)

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 10742767-1205 (UT)

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 10742767-1205 (UT)

Other Surgery providers in Pennsylvania →

Registry record

NPI: 1023305018
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2011
Record last updated: 29 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.