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Individual

JERRY MITCHELL

Active
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Individual

JERRY MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35082344
OH
207RX0202X
Medical Oncology Physician
Primary
35082344
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000288885
ANTHEM BC/BS
OH
05
2425763
OH
01
3600950
UNITED HEALTHCARE
OH
Enumeration date
05/04/2006
Last updated
02/12/2021
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