Provider Demographics
NPI:1205806783
Name:MITCHELL, ORDERIA F (MD)
Entity type:Individual
Prefix:DR
First Name:ORDERIA
Middle Name:F
Last Name:MITCHELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4105 BRIARGATE PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3487
Mailing Address - Country:US
Mailing Address - Phone:719-473-3332
Mailing Address - Fax:719-368-6872
Practice Address - Street 1:4105 BRIARGATE PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3487
Practice Address - Country:US
Practice Address - Phone:719-473-3332
Practice Address - Fax:719-368-6872
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2014-03-26
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Provider Licenses
StateLicense IDTaxonomies
COCO25103207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01251032Medicaid
CO01251032Medicaid
D24575Medicare UPIN