Individual
DOUGLAS C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3119
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
39134
CO
207L00000X
Anesthesiology Physician
Primary
MD2020-0581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56282371
—
CO
Enumeration date
11/07/2005
Last updated
09/26/2024
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