Mark Glenn Mitchell O.D.

NPI 1134124308 - Optometrist - 152W00000X

NPI Details
NPI 1134124308
Gender Male
Enumeration Date 06/15/2005
Last Updated 01/13/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
4600 KIETZKE LN
STE B119
RENO NV, 89502-5036, US
Phone (775) 825-0506
Fax (775) 825-0873
Business Location
4600 KIETZKE LN
STE B119
RENO NV, 89502-5036, US
Phone (775) 825-0506
Fax (775) 825-0873
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8285T
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According to our database, Dr. Mark Glenn Mitchell O.D. NPI is 1134124308, taxonomy code is 152W00000X and license number is 8285T, license state is located at California. Mark Glenn Mitchell O.D. physically located at 4600 Kietzke Ln, Reno NV, 89502-5036. NPI Number Mark Glenn Mitchell O.D. has the Individual type.

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1134124308 NPI number is provided on an as is basis without warranty of any kind. 1134124308 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Glenn Mitchell O.D. are for informational purposes only.