Individual
MITCHELL GRANT CLINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0075671
CO
Other
Enumeration date
05/25/2022
Last updated
07/10/2025
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