Individual
MR. ESAU MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320
(610) 384-7711
Mailing address
216 N. EVERHART AVE, APT. A, WEST CHESTER, PA 19380
(610) 719-0621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001966L
PA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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