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Organization

PLATEAU EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES T. MITCHELL MD (PRESIDENT)
(800) 444-7009
Entity
Organization

Contact information

Practice address
1450 BATTERSBY AVE, EMERGENCY DEPARTMENT, ENUMCLAW, WA 98022-3634
(360) 825-2505
Mailing address
PO BOX 7720, PHILADELPHIA, PA 19101-7720
(800) 444-7009
(800) 305-3233

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7127384
WA
Enumeration date
07/04/2006
Last updated
04/20/2008
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