Individual
DR. MITCHELL B AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6501 LOISDALE CT, KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER, SPRINGFIELD, VA 22150-1826
(703) 922-1000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000004
VA
Other
Enumeration date
01/09/2007
Last updated
12/27/2011
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