# MITCHELL CLARK PALMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275778805
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110007847 | VA | — |
| 363A00000X | Physician Assistant | 085009855 | IL | — |
| 363A00000X | Physician Assistant | EL13328 | NH | — |
| 363AS0400X | Surgical Physician Assistant | MA067725 | PA | Yes |
| 363AS0400X | Surgical Physician Assistant | PA006322 | GA | — |
| 363AS0400X | Surgical Physician Assistant | PA9102913 | FL | — |

## Other

- **Enumeration date:** 12/11/2008
- **Last updated:** 05/14/2026