Organization
MARK G. MITCHELL, OD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MITCHELL OD (CEO)
(775) 825-0506
Entity
Organization
Contact information
Practice address
4600 KIETZKE LN STE B119, RENO, NV 89502-5036
(775) 825-0506
(775) 825-0873
Mailing address
4600 KIETZKE LN STE B119, RENO, NV 89502-5036
(775) 825-0506
(775) 825-0873
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332H00000X
Eyewear Supplier
374
NV
Other
Enumeration date
10/02/2008
Last updated
07/12/2010
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