Individual
PETER W MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
(480) 558-3801
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
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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