Individual
PAUL MITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 E BONANZA RD STE 17, LAS VEGAS, NV 89110-6105
(702) 331-4277
Mailing address
140 SIDDALL AVE, LAS VEGAS, NV 89183-5035
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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