Individual
LEX ALLEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A113267
CA
2085N0700X
Neuroradiology Physician
A113267
CA
2085R0202X
Diagnostic Radiology Physician
A113267
CA
2085R0202X
Diagnostic Radiology Physician
MD-17925
HI
208D00000X
General Practice Physician
01062408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME117985
FL LICENSE
FL
Enumeration date
09/03/2006
Last updated
04/08/2024
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