Individual
MARK MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 BEAR CUB RD, CHEYENNE, WY 82009-9453
(307) 337-8058
Mailing address
1821 BEAR CUB RD, CHEYENNE, WY 82009-9453
(307) 337-8058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49041
WY
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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