Individual
JAMES C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1397A WEIMER ROAD, TAOS, NM 87571
(575) 758-8883
Mailing address
1397A WEIMER ROAD, PO BOX DD, TAOS, NM 87571
(575) 758-8883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R26694
NM
Other
Enumeration date
04/28/2006
Last updated
03/19/2012
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