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Individual

PETER W MITCHELL

Active
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Individual

PETER W MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
27147
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
27147
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
450007
AZ
01
Z149329
PTAN
AZ
Enumeration date
08/17/2005
Last updated
07/30/2019
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