Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Kirk Bogle, PA

Individual provider Medical Physician Assistant · NPI 1063465318

Mitchell Kirk Bogle, PA is a Physician Assistant in Show Low, Arizona. Qualified in 2003, 23 years ago. Practices with Donsky Bogle Dermatology LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2951 N Clark Rd
Show Low, AZ 85901-3848
Phone: (928) 537-2550
Fax: (928) 832-7228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3411 (AZ)

Record details

NPI number1063465318
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address1150 N Country Club Dr Ste 6, Mesa, AZ 85201-2537

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Donsky Bogle Dermatology Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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