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Individual

ROBERT BYRON MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
805 FRONTAGE RD, KENAI, AK 99611-9104
(907) 262-3119
(907) 262-9290
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 262-3119
(907) 262-9290

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
141983
AK
207Q00000X
Family Medicine Physician
Q5229
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1694284
AK
05
358545701
TX
Enumeration date
04/22/2013
Last updated
09/04/2024
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