Individual
MS. BETTY G MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 338-4545
Mailing address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
156
CO
363AM0700X
Medical Physician Assistant
Primary
000156
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008829
KAISER-COMMERCIAL NUMBER
—
05
—
78137748
—
CO
Enumeration date
02/27/2007
Last updated
05/04/2016
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