Individual
MR. RAYMOND J. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
57 WATER ST., BLUE HILL, ME 04614
(207) 374-3911
(207) 374-3986
Mailing address
PO BOX 1029, BLUE HILL, ME 04614
(207) 374-2836
(207) 374-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-649
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279020099
—
ME
Enumeration date
06/20/2006
Last updated
06/29/2010
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