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Individual

DR. RONALD DUANE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
731 HICKEY BLVD, PACIFICA, CA 94044-1214
(650) 738-8080
Mailing address
731 HICKEY BLVD, PACIFICA, CA 94044-1214
(650) 738-8080

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC18543
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC18543
STATE LICENSE
CA
Enumeration date
02/13/2007
Last updated
07/08/2007
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