Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CECILIA MIX
Active Sole ProprietorCECILIA MIX is a Podiatric Surgery healthcare provider located in GRAND LAKE, Colorado. NPI 1972151231 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · GRAND LAKE, CO
Registration Details
- NPI Number
- 1972151231
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2019 (6.9773193285796 yrs)
- Last Updated
- Aug 29, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
11911 US HIGHWAY 34GRAND LAKE, CO, 804478918Browse CO providers · Browse ZIP 80447
- Phone
- 2096023623
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in GRAND LAKE, CO
| Name | Credential | NPI |
|---|---|---|
| MRS. CATHY WALTON-SMITH | — | 1922659408 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.