Individual
ALLEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2790
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2790
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101245641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277220
—
SC
Enumeration date
08/17/2006
Last updated
04/05/2017
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