Individual
DURAN RYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 DURALEIGH RD STE 100, RALEIGH, NC 27612-8105
(919) 788-8797
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2021-00267
NC
208100000X
Physical Medicine & Rehabilitation Physician
2021-00267
NC
208VP0000X
Pain Medicine Physician
Primary
2021-00267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-00267
MEDICAL LICENSE
NC
Enumeration date
03/31/2017
Last updated
08/22/2022
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