Mitchell Mayfield, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Carson, CO

NPI

1245889484

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MED-PAC-LIC-78844 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2019-09-10

Last updated

2021-03-26