Individual
MR. JAMES P. MITHOEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC EMERGENCY MEDICINE, LEBANON, NH 03756-1000
(603) 650-7000
Mailing address
1 MEDICAL CENTER DR, DHMC EMERGENCY MEDICINE, LEBANON, NH 03756-1000
(603) 650-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0086
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332369
—
NH
05
—
9000131
—
VT
Enumeration date
07/04/2006
Last updated
11/02/2011
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