Organization
PEND OREILLE RIVER EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
714 W PINE ST, NEWPORT, WA 99156-9046
(469) 401-2386
Mailing address
13737 NOEL RD, #1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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