MR. Leslie John Mitkos III, ATC
NPI #1174964761 in Camp Lejeune, North Carolina
Provider Information
- NPI Number
- 1174964761
- Entity Type
- Individual
- Name
- MR. Leslie John Mitkos III, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 11, 2013
- Last Updated
- Mar 21, 2017
Practice Location
- Address
- 100 BREWSTER BLVD
- City
- Camp Lejeune
- State
- North Carolina
- ZIP Code
- 28547-2575
- Phone
- (910) 449-0324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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