Individual
MITCHELL MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-8181
Mailing address
1260 POPLAR KNOB ROAD, GALAX, VA 24333
(276) 236-8181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165925
VA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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