Almost all of these clinics use mid-levels but have to have a medical doctor sign off on protocols. They just want to skim the easy visits and profit off primary care and turf everything else to someone else. Unfortunately much of this is due to greed of doctors in the past who created the concept of mid-levels to increase their profits. I don't want to start a whos better talk of mid-levels vs doctors, but I really believe doctors started this in the past.
