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Individual

DR. DOUGLAS ROY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(573) 886-4600
Mailing address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(573) 886-4600

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2009026071
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
42187
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD435274
PA

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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