Individual
RYAN ERIC MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
54 N PECOS RD, SUITE C, HENDERSON, NV 89074-7329
(702) 376-3095
(702) 946-1687
Mailing address
54 N PECOS RD, SUITE C, HENDERSON, NV 89074-7329
(702) 376-3095
(702) 946-1687
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
1113
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500680
—
NV
Enumeration date
07/20/2005
Last updated
11/10/2014
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