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Individual

MITCHELL BARNHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3901 E STANFORD DR, PARADISE VALLEY, AZ 85253-7536
(602) 955-8200
Mailing address
2064 N RED CLIFF, SANCTUARY BOX B #3, MESA, AZ 85207-2636

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ATR-008952
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
Enumeration date
12/05/2017
Last updated
04/16/2022
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