Individual
CHRISTINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4006 JOHNATHAN ST STE B, WATERLOO, IA 50701-9395
(319) 233-1540
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
087919
IA
Other
Enumeration date
07/12/2017
Last updated
02/07/2022
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