Individual
DR. MIKE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 E 5900 S, SUITE 101, SALT LAKE CITY, UT 84107-7379
(801) 268-6600
(801) 268-6602
Mailing address
328 CENTER ST, SALT LAKE CITY, UT 84103-1625
(801) 364-3749
(801) 268-6602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1138589934
UT
Other
Enumeration date
01/31/2006
Last updated
10/25/2011
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