Individual
DR. SAMUEL J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SWINGLE STUDENT HEALTH SERVICE, MONTANA STATE UNIVERSITY, BOZEMAN, MT 59717-3260
(406) 994-2311
(406) 994-2504
Mailing address
PO BOX 173260, MONTANA STATE UNIVERSITY STUDENT HEALTH SERVICE, BOZEMAN, MT 59717-3260
(406) 994-2311
(406) 994-2504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10813
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144781
—
MT
Enumeration date
05/23/2006
Last updated
02/08/2013
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