Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | B-445 | NV |
Y | 213ER0200X | Radiology | B-445 | NV |
NPI | 1164436796 |
---|---|
Provider Name | Dr. Robyn Beck Mitchell |
First Address | Reno, NV 89521-3964 |
Second Address | Reno, NV 89521-3964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |