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NPI Code Detail

MEDICARE: DR. SABRINA LORRAINE MITCHELL DO

MEDICARE: DR. SABRINA LORRAINE MITCHELL DO
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
1207Q00000XFamily Medicine PhysicianA-1214-03NM
2207Q00000XFamily Medicine Physician48788CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407887961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SABRINA LORRAINE MITCHELL DO
Provider Business Mailing Address
First Line : PO BOX 62
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81502-0062
Country : US
Telephone Number : 970-298-2800
Fax Number : 970-255-6902
Provider Business Practice Location Address
First Line : 2698 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8818
Country : US
Telephone Number : 970-298-2800
Fax Number : 970-255-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 11/12/2014

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Directions to “ DR. SABRINA LORRAINE MITCHELL DO” Practice Location

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