NPI 1053121657

Melvin Daron Mitchell

Practitioner Driver Maricopa, AZ

Practice location

Address: 40311 W Helen CT, Maricopa, AZ 85138-5169
Phone: (414) 915-8497

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D07899652 (AZ)

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Registry record

NPI: 1053121657
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2025
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.