Individual
MR. RALPH ALAN MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MS: 315-J1-TRM, TACOMA, WA 98405-4234
(253) 403-7537
(253) 403-7539
Mailing address
PO BOX 5299, MS: 315-J1-TRM, TACOMA, WA 98415-0299
(253) 403-7537
(253) 403-7539
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10003857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8362220
—
WA
Enumeration date
06/01/2006
Last updated
07/09/2007
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