Provider Demographics
NPI:1174720668
Name:MITCHELL, JUSTIN S (DO)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:S
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:12770 EDGEMERE BLVD. #F
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938
Mailing Address - Country:US
Mailing Address - Phone:915-249-4000
Mailing Address - Fax:915-206-5949
Practice Address - Street 1:12770 EDGEMERE BLVD STE F
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4569
Practice Address - Country:US
Practice Address - Phone:915-249-4000
Practice Address - Fax:915-206-5949
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2024-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP8276207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery