Individual
MITCHELL LYNN HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2570 GOODWATER AVE, SUITE 100, REDDING, CA 96002-1514
(530) 224-0990
(530) 224-0940
Mailing address
2570 GOODWATER AVE, SUITE 100, REDDING, CA 96002-1514
(530) 224-0990
(530) 224-0940
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38190
—
CA
01
—
480014139
RAILROAD MEDICARE
—
01
—
E3819
INSURACE COMPANIES
CA
Enumeration date
10/18/2006
Last updated
06/19/2010
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