Individual
MARTIN W MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35064976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137819
—
OH
Enumeration date
06/06/2006
Last updated
03/09/2012
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