Individual
PHILLIP A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(303) 730-5800
(303) 730-5868
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74934562
—
CO
01
—
930106752
RR MEDICARE
—
Enumeration date
02/17/2006
Last updated
04/23/2009
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