Provider Demographics
NPI:1891958351
Name:MENDENHALL, COLE FREDRICK PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:COLE
Middle Name:FREDRICK PAUL
Last Name:MENDENHALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22455 N MILLER RD STE B100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4956
Mailing Address - Country:US
Mailing Address - Phone:480-435-9100
Mailing Address - Fax:480-702-0083
Practice Address - Street 1:22455 N MILLER RD STE B100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4956
Practice Address - Country:US
Practice Address - Phone:480-435-9100
Practice Address - Fax:480-702-0083
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-04
Last Update Date:2023-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ530242085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology