Individual
DAVID LEE MITCHELL-FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3922 DEERPATH PL, WEST LAFAYETTE, IN 47906-8836
(765) 448-8000
Mailing address
3922 DEERPATH PL, WEST LAFAYETTE, IN 47906-8836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027043A
IN
207Q00000X
Family Medicine Physician
01027043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076455
ANTHEM PROVIDER NUMBER FOR URGENT CARE AT ARNETT CLINIC, LLC
IN
01
—
000000766814
ANTHEM PROVIDER NUMBER FOR FAMILY MEDICINE AT ARNETT CLINIC, LLC
IN
05
—
100187400
—
IN
01
—
10825609
CAQH NUMBER
IN
01
—
9397330
PHCS PID NUMBER
IN
05
—
MI57177011
—
IN
Enumeration date
03/20/2006
Last updated
07/21/2015
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