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Marshawn Mitchell SR.
Clinic/Center in Buckeye, Arizona
NPI 1104243500

Marshawn Mitchell SR. is a Clinic/Center based in Buckeye, AZ. Marshawn Mitchell SR. practices in Buckeye, AZ. The NPI Number for Marshawn Mitchell SR. is 1104243500 and holds a License No. (Arizona).

The current practice location address for Marshawn Mitchell SR. is 23605 W Bowker St, Buckeye, AZ and can be reached out via phone at 757-763-0754. You can also correspond with Marshawn Mitchell SR. through the mailing address at 23605 W BOWKER ST, BUCKEYE, AZ - 85326-7217 (mailing address contact number: 757-763-0754).

Location: 23605 W Bowker St, Buckeye, AZ, 85326-7217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104243500
Provider Name
Marshawn Mitchell SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
23605 W Bowker St, Buckeye, AZ, 85326-7217
Phone Number
757-763-0754
Fax Number
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23605 W Bowker St
City
Buckeye
State
Arizona
Zip
85326-7217
Phone Number
757-763-0754
Fax Number
person
Provider Business Mailing Address Details
Address
23605 W Bowker St
City
Buckeye
State
Arizona
Zip
85326-7217
Phone Number
757-763-0754
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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).
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