Mix, Doran S

Mix, Doran S is an individual health care provider with primary practice located at 601 Elmwood Ave Box 652, Rochester NY 14642-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mix, Doran S can be contacted via phone (585) 275-6772.

Contact Information

Primary practice address
601 Elmwood Ave Box 652 Rochester NY 14642-0001
Phone: (585) 275-6772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 280161 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 65742 Minnesota

Profile Details

NPI number 1750622726
LBN Legal business name Mix, Doran S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2013
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers