Individual
DR. CHRISTINE MASSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2961
(417) 820-7790
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2010007590
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183914001
—
AR
05
—
1881839132
—
MO
01
—
431560263
TRICARE
MO
01
—
P00852047
RR MCR
MO
Enumeration date
12/15/2008
Last updated
05/27/2015
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