Individual
DR. JOSEPH DAVID MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 GALLOWS RD, SUITE D, VIENNA, VA 22182-3962
(703) 790-1304
(703) 821-8922
Mailing address
2110 GALLOWS RD, SUITE D, VIENNA, VA 22182-3962
(703) 790-1304
(703) 821-8922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101039423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67087
ANTHEM
VA
Enumeration date
08/12/2006
Last updated
02/18/2013
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