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Organization

MITCHELL MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES KEITH MITCHELL MD (EMPLOYER)
(870) 642-8818
Entity
Organization

Contact information

Practice address
155 HIGHWAY 71 N, DE QUEEN, AR 71832-3706
(870) 642-8818
Mailing address
PO BOX 345, HORATIO, AR 71842-0345

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125229001
AR
01
1568061828
NURSE PRACTITIONER NPI
AR
01
1942208277
PROVIDER NPI
AR
Enumeration date
03/11/2021
Last updated
03/11/2021
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