Individual
DR. CLYDE PAUL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 GREENTREE ROAD, PITTSBURGH, PA 15220
(412) 388-8042
(412) 246-4755
Mailing address
568 MOORHEAD PLACE, PITTSBURGH, PA 15232
(304) 642-9350
(412) 246-4755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD023093E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057244000
—
WV
Enumeration date
07/24/2006
Last updated
09/18/2019
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