Individual
DAX MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 CAPITOL ST, OGDEN, UT 84401-2707
(435) 401-3562
Mailing address
1107 CAPITOL ST, OGDEN, UT 84401-2707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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