Marco M Mitchell
Medical Specialty
Professional ID
- NPI: 1467700328
- PECOS ID: 0648422089
- Enrollment ID: I20121210000433
- Credential(MD, DO, DPM):
- Medical School: University Of California Davis School Of Medicine
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 050726
- Business Name (LBN)1: Stanislaus Surgical Hospital
- Hospital CCN2: 050557
- Business Name (LBN)2: Memorial Medical Center
Medical Practices
- Organization Name: Michael B Purnell Md Inc
- Group Practice ID assigned by PECOS: 6103904222
- Number of Group Practice member: 2
Location
- Address1: 1335 Coffee Rd
- Address2: Suite 100
- City: Modesto
- State: California
- Zip Code: 95355
- Phone Number: (209)524-4438
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):