Individual
ROBERT P MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
306 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 458-5101
Mailing address
306 E DOWNING ST, TAHLEQUAH, OK 74464-3014
(918) 458-5101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3277
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7757120
AETNA
OK
Enumeration date
01/23/2006
Last updated
08/20/2008
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