Individual
DR. BRIAN MICHAEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2808 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1207
(215) 637-1212
Mailing address
2808 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011536
PA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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