Provider Demographics
NPI:1013050491
Name:MITCHELL, GRAEME WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:GRAEME
Middle Name:WILLIAM
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20701 N SCOTTSDALE RD
Mailing Address - Street 2:#107-200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6413
Mailing Address - Country:US
Mailing Address - Phone:602-992-4770
Mailing Address - Fax:
Practice Address - Street 1:4845 E THUNDERBIRD RD
Practice Address - Street 2:# 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3556
Practice Address - Country:US
Practice Address - Phone:602-992-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor