Organization
DOUGLAS C MITCHELL MD PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS C MITCHELL M.D. (OWNER)
(303) 422-9438
Entity
Organization
Contact information
Practice address
1551 PROFESSIONAL LN, SUITE 100, LONGMONT, CO 80501-6972
(720) 494-3200
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54781809
—
CO
Enumeration date
05/04/2007
Last updated
09/17/2013
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