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NPI Code Detail

MEDICARE: DR. JORDAN ANTHONY MITCHELL DO

MEDICARE:  DR. JORDAN ANTHONY 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
1208000000XPediatrics PhysicianR4337AZ

General Provider Information

NPI Number : 1831931872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN ANTHONY MITCHELL DO
Provider Business Mailing Address
First Line : 833 N 2ND AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7826
Country : US
Telephone Number : 831-428-2015
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/13/2024

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Directions to “ DR. JORDAN ANTHONY MITCHELL DO” Practice Location

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