Individual
WILLIAM J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 LOS ARBOLES AVE NW, ALBUQUERQUE, NM 87107-1014
(505) 344-4991
Mailing address
1304 LOS ARBOLES AVE NW, ALBUQUERQUE, NM 87107-1014
(505) 344-4991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71-81
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19422
—
NM
Enumeration date
02/01/2012
Last updated
02/01/2012
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