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Organization
RAINBOW BASIN EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
Active
Organization
RAINBOW BASIN EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
820 E MOUNTAIN VIEW ST, BARSTOW, CA 92311-3004
(760) 256-1761
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
Enumeration date
10/09/2008
Last updated
12/23/2013
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