Individual
COLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9844 S 1300 E, SANDY, UT 84094-4673
(801) 571-9433
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10882835-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
10882835-1206
UT
Other
Enumeration date
07/06/2020
Last updated
01/23/2025
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