Individual
ANTHONY PATRICK MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 SNOW TRILLIUM WAY, EVERGREEN, CO 80439-9204
(720) 295-3790
(877) 400-4480
Mailing address
552 E NICHOLS DR, LITTLETON, CO 80122-2838
(360) 798-4717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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