National Provider Identifier
Doran S Mix, M.D.
Doran S Mix, M.D. is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician in Rochester, NY and a listed phone number of (585) 275-6772.
Profile Overview
- NPI
- 1750622726
- Provider Type
- Individual
- Primary Specialty
- Vascular Surgery Physician
- Enumeration Date
- March 15, 2013
- Last Updated
- July 07, 2023
Practice Location
- 601 Elmwood Ave
- Box 652
- Rochester, NY 14642-0001
Phone: (585) 275-6772
Mailing Address
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Specialties
- Vascular Surgery Physician (2086S0129X)
- Physician Assistant (363A00000X)
Endpoints
- dmix31668@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1750622726
- Entity Type
- Individual
- Last Name
- Mix
- First Name
- Doran
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 652
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-6772
- Enumeration Date
- March 15, 2013
- Last Updated
- July 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Vascular Surgery Physician (2086S0129X), Physician Assistant (363A00000X)