Individual
BRYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-8920
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 624-2313
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60211414
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD60211414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280428
LABOR & INDUSTRIES
WA
05
—
1376552976
—
WA
Enumeration date
08/05/2006
Last updated
06/17/2021
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