Individual
JOSEPH MIZZELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1224
(858) 625-7200
(858) 625-8363
Mailing address
9850 GENESEE AVE, SUITE 780, LA JOLLA, CA 92037-1224
(858) 625-7200
(858) 625-8363
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A111893
CA
207RP1001X
Pulmonary Disease Physician
A111893
CA
Other
Enumeration date
02/06/2007
Last updated
07/10/2013
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