Individual
DR. DAVID RAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7434
(918) 540-7473
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 540-7434
(918) 540-7473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19340
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096500A
—
OK
01
—
1027780
CIGNA BEHAVIORAL HEALTH
—
05
—
200509690A
—
OK
01
—
5305085
AETNA BEHAVIORAL HEALTH
—
Enumeration date
01/25/2006
Last updated
02/22/2018
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