Individual
WILLIAM A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
NORTHWEST CENTER FOR BEHAVIORAL HEALTH, 1 MILE EAST ON HIGHWAY 270, FORT SUPPLY, OK 73841-0001
(580) 766-2311
(580) 766-2017
Mailing address
NORTHWEST CENTER FOR BEHAVIORAL HEALTH, 1222 10TH STREET, SUITE 211, WOODWARD, OK 73801-3156
(580) 571-3217
(580) 256-8609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17736
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083750A
—
OK
01
—
P00292169
RR MCR
OK
Enumeration date
11/17/2006
Last updated
02/23/2009
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