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Individual

DR. PAUL RAYMOND MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00666
SC
208VP0014X
Interventional Pain Medicine Physician
00666
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006665
SC
Enumeration date
05/19/2006
Last updated
08/15/2023
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