Organization
MADIX MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACEY L MITCHELL NP (OWNER/NURSE PRACTITIONER)
(928) 377-1984
Entity
Organization
Contact information
Practice address
1608 N STOCKTON HILL RD STE 101, KINGMAN, AZ 86401-4142
(928) 377-1984
(928) 377-1983
Mailing address
1608 N STOCKTON HILL RD STE 101, KINGMAN, AZ 86401-4142
(928) 377-1984
(928) 377-1983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
08/16/2014
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