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Contact Information

DEREK J MITZEL, MD
18205 N 51ST AVE
SUITE 109
GLENDALE, AZ85308-1490
 Phone: 602-547-1400
 Fax: 602-547-1401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DEREK J MITZEL · (Male)

NPI Number 1477508232
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4296
  • AZ Medicaid 116627
  • Other Z115507 MEDICARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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