Organization
TIM MITCHELL MEDICAL INC
Active
Other names
ADVANTAGE HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MITCHELL RPH (OWNER)
(417) 451-9501
Entity
Organization
Contact information
Practice address
1009 S NEOSHO BLVD, NEOSHO, MO 64850-2008
(417) 455-1882
(417) 455-2781
Mailing address
1009 S NEOSHO BLVD, NEOSHO, MO 64850-2008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2005032630
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2636453
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/22/2006
Last updated
10/08/2008
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