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Organization

PRAIRIE SCHOONER EMERGENCY PHYSICIANS, A MEDICAL CORPORATION

Active
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Organization

PRAIRIE SCHOONER EMERGENCY PHYSICIANS, A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES T MITCHELL MD (PRESIDENT)
(469) 401-2386
Entity
Organization

Contact information

Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-8886
(559) 791-4802
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37-1437692
BLUESHIELD
CA
Enumeration date
07/16/2007
Last updated
12/23/2013
About Stedi
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