Provider Demographics
NPI:1932840782
Name:MITCHELL, JOHN WESLEY JR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WESLEY
Last Name:MITCHELL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:DERMOTT
Mailing Address - State:AR
Mailing Address - Zip Code:71638-0509
Mailing Address - Country:US
Mailing Address - Phone:870-942-3000
Mailing Address - Fax:870-942-3005
Practice Address - Street 1:506 LITTLE CREEK CUT OFF RD
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-7798
Practice Address - Country:US
Practice Address - Phone:870-942-3000
Practice Address - Fax:870-942-3005
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2025-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-17554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine