Individual
DANIEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3650
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0010158
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008086
—
VT
Enumeration date
08/12/2006
Last updated
01/09/2016
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