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Individual
PETER B. MITCHELL
Active
Individual
PETER B. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8154
MT
208M00000X
Hospitalist Physician
Primary
8154
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013361
BCBS PIN
MT
01
—
0010931
MDCD PIN
MT
01
—
112174000
MDCD PIN
WY
Enumeration date
09/20/2006
Last updated
02/21/2022
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