Organization
KEVIN MITCHELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELLE L.B. MITCHELL (SECRETARY)
(530) 749-0700
Entity
Organization
Contact information
Practice address
710 4TH ST, SUITE B, MARYSVILLE, CA 95901-5668
(530) 749-0700
(530) 749-9298
Mailing address
710 4TH ST, SUITE B, MARYSVILLE, CA 95901-5668
(530) 749-0700
(530) 749-9298
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
G867120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G867120
—
CA
Enumeration date
03/25/2008
Last updated
03/25/2008
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