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Individual

ANDREW CLAIR MITCHELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2282
(605) 355-2504
Mailing address
1915 NW 97TH ST, SEATTLE, WA 98117-2436
(206) 940-7592
(206) 783-7592

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30637
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5549050
SD
Enumeration date
05/05/2006
Last updated
07/08/2007
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