Provider Demographics
NPI:1275852188
Name:MITCHELL, AARON JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAY
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:924 STATE HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-9004
Mailing Address - Country:US
Mailing Address - Phone:870-739-8670
Mailing Address - Fax:870-739-8706
Practice Address - Street 1:924 STATE HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-9004
Practice Address - Country:US
Practice Address - Phone:870-739-8670
Practice Address - Fax:870-739-8706
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2019-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE7944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR198344001Medicaid