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Individual

DR. BRIAN JAMES MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
104 27TH AVE SE, PUYALLUP, WA 98374-1145
(253) 770-9000
(253) 770-9712
Mailing address
PO BOX 1205, PUYALLUP, WA 98371-0231
(253) 770-9000
(253) 770-9712

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
OP00002336
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OP00002336
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006500
WA
Enumeration date
08/05/2007
Last updated
12/16/2020
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