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Individual
CAMERON JAMES MITCHELL
Active
Individual
CAMERON JAMES MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15640
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15640
STATE LICENSE #
AR
01
—
5C789
GROUP BCBS NUMBER
AR
01
—
5X278
INDIVIDUAL BCBS NUMBER
AR
01
—
652679
UNITED HEALTHCARE ID #
AR
Enumeration date
01/16/2006
Last updated
09/03/2009
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