Individual
DR. MARC A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8505
(360) 782-3222
(360) 782-3245
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
5101016185
MI
208800000X
Urology Physician
Primary
OP60085623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010MI
REGENCE
WA
01
—
249177
LABOR & INDUSTRIES
WA
Enumeration date
10/15/2007
Last updated
03/07/2023
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