Individual
DR. BARRY J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 S KELLY AVE, EDMOND, OK 73013-3651
(405) 330-0032
(405) 715-8888
Mailing address
1616 S KELLY AVE, EDMOND, OK 73013-3651
(405) 330-0032
(405) 715-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15753
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080168970
RAILROAD MEDICARE
OK
05
—
100222470B
—
OK
Enumeration date
02/01/2006
Last updated
08/04/2011
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