Individual
DR. MARK MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW RM 5B-18, DEPT. OF OB/GYN, WASHINGTON, DC 20010-3017
(202) 877-7473
(202) 877-7393
Mailing address
1900 MASS AVE SE, WASHINGTON, DC 20003-2542
(202) 548-6500
(202) 548-7526
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD15018
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007700300
—
DC
05
—
010121264
—
DC
05
—
036306900
—
DC
Enumeration date
01/30/2006
Last updated
07/02/2012
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