Organization
GENERATION MEDICAL SERVICES, A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1191 PHELPS AVE, COALINGA, CA 93210-9609
(469) 401-2386
Mailing address
PO BOX 98564, LAS VEGAS, NV 89193-8564
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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