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Individual

DR. ROBERT E MITCHELL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7605 FOREST AVE STE 211, RICHMOND, VA 23229-4940
(804) 282-3114
(804) 285-9723
Mailing address
7605 FOREST AVE STE 211, RICHMOND, VA 23229-4940
(804) 282-3114
(804) 285-9723

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101040964
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101040964
STATE LICENSE
VA
01
1023106390
GROUP NPI
01
217009
ANTHEM PROVIDER NUMBER
Enumeration date
10/20/2006
Last updated
02/29/2008
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