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Individual

ELIZABETH ANNE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3418
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.120507
OH
2080P0202X
Pediatric Cardiology Physician
Primary
35.120507
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0325264
OH
Enumeration date
03/23/2011
Last updated
10/15/2023
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