MEDICARE: DR. SCOTT AARON MITCHELL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7771	AZ

General Provider Information

NPI Number	:	1134204126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT AARON MITCHELL D.C.

Provider Business Mailing Address
First Line	:	17215 N 72ND DR
Second Line	:	STE 105
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8558
Country	:	US
Telephone Number	:	623-878-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	17215 N 72ND DR
Second Line	:	STE 105
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8558
Country	:	US
Telephone Number	:	623-878-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/13/2009

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