Individual provider · Type 1 NPI
Marshawn Mitchell Sr.
Clinic/Center · Buckeye, AZ
NPI number
1104243500
Active
Practice location
23605 W Bowker St
Buckeye, AZ 85326-7217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1104243500
Marshawn Mitchell Sr.'s National Provider Identifier is 1104243500, issued on Mar 24, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Buckeye, AZ. The record was last updated on Mar 24, 2014.