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Individual
DURAN RYAN MITCHELL
Active
Individual
DURAN RYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2021-00267
NC
208100000X
Physical Medicine & Rehabilitation Physician
2021-00267
NC
208VP0000X
Pain Medicine Physician
Primary
2021-00267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-00267
MEDICAL LICENSE
NC
Enumeration date
03/31/2017
Last updated
08/22/2022
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