Individual
CHASE ALAN MITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 MACCORKLE AVE SE, CHARLESTON, WV 25304-1099
(800) 955-4682
Mailing address
514 ROXALANA HILLS DR, DUNBAR, WV 25064-1935
(208) 339-5257
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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