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Individual

MR. BRETT AARON MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
P.O. BOX 829641, PHILADELPHIA, PA 19182-9641
(267) 370-5285
(215) 230-3725

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/31/2018
Last updated
01/02/2019
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