Individual
DR. CHINMOY ROBERT MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 BOATNER RD, STE 114, EGLIN AFB, FL 32542-1391
(850) 883-8600
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101267803
VA
Other
Enumeration date
01/28/2006
Last updated
11/04/2019
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