Individual
DR. RONALD JOSEPH MITTEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Mailing address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
46987
AZ
208000000X
Pediatrics Physician
125054682
IL
Other
Enumeration date
06/13/2008
Last updated
07/02/2019
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