Individual
DEVERY E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7601 HOSPITAL DR STE 103, SACRAMENTO, CA 95823-5408
(916) 681-1600
Mailing address
7601 HOSPITAL DR STE 103, SACRAMENTO, CA 95823-5408
(916) 681-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
110431
AK
207Q00000X
Family Medicine Physician
Primary
A159480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647331
—
AK
Enumeration date
05/31/2016
Last updated
08/12/2020
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