Individual
DR. RICHARD JOHN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3901 HARRISON AVE, BUTTE, MT 59701-6802
(406) 494-0805
(406) 494-0806
Mailing address
510 KOHRS ST, DEER LODGE, MT 59722-1229
(406) 494-0805
(406) 494-0806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
465
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48 1494
—
MT
Enumeration date
08/16/2006
Last updated
07/09/2007
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