Individual
MR. MITCHELL RYAN CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
100 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1833
(205) 462-3334
Mailing address
4427 OXFORD GATE DR, TUSCALOOSA, AL 35405-4768
(205) 294-1819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-124207
AL
363LF0000X
Family Nurse Practitioner
Primary
F08161087
AL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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