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Organization

OKANOGAN EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES T MITCHELL MD (PRESIDENT)
(805) 563-3011
Entity
Organization

Contact information

Practice address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-7664
Mailing address
PO BOX 42901, PHILADELPHIA, PA 19101-2901
(800) 527-2145
(214) 712-2444

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7122922
WA
Enumeration date
05/06/2006
Last updated
04/20/2008
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