Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 18-1735 | AZ |
NPI | 1073098497 |
---|---|
Provider Name | Dr. William Lee Mitchell |
First Address | Gilbert, AZ 85233-2213 |
Second Address | Gilbert, AZ 85233-2213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2018 |
Last Update Date | 02/10/2018 |