Individual
TANYA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88472
MT
207Q00000X
Family Medicine Physician
MRO1660
ID
Other
Enumeration date
06/19/2017
Last updated
01/02/2026
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