Individual
MARIA L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 E 14TH ST, DES MOINES, IA 50316-1901
(515) 262-0404
(515) 262-0489
Mailing address
2301 E 14TH ST, DES MOINES, IA 50316-1901
(515) 262-0404
(515) 262-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26667
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188604
RAILROAD MEDICARE NUMBER
IA
05
—
1285693796
—
IA
05
—
6032268
—
IA
Enumeration date
03/22/2006
Last updated
08/15/2012
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