Individual
WILLIAM CHRISTOPHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1000 ALPINE AVE, BOULDER, CO 80304-3406
(303) 443-8500
Mailing address
382 PHEASANT RUN, LOUISVILLE, CO 80027-1139
(720) 366-7446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100880890
DRIVERS LICENSE
CO
Enumeration date
10/12/2021
Last updated
10/12/2021
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