Individual
DR. MITCHEL L. MCCANDLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 BRADDOCK AVE, BRADDOCK, PA 15104-1856
(412) 636-5050
(412) 271-2361
Mailing address
501 BRADDOCK AVE, BRADDOCK, PA 15104-1856
(412) 271-2361
(412) 271-2361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD039480E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011172130001
—
PA
Enumeration date
09/13/2005
Last updated
10/07/2020
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