Organization
BLACK HILLS EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T. MITCHELL MD (PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
3900 CAPITOL MALL DR SW, EMERGENCY DEPARTMENT, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
PO BOX 7248, PHILADELPHIA, PA 19101-7248
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127392
—
WA
Enumeration date
06/24/2006
Last updated
04/20/2008
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