Individual
DR. SCOTT A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3601 NW 138TH ST, STE 200, OKLAHOMA CITY, OK 73134-2507
(405) 775-9350
(405) 775-9360
Mailing address
3601 NW 138TH ST, STE 200, OKLAHOMA CITY, OK 73134-2507
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2802
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
2802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050074315
MEDICARE RR
OK
05
—
100124110A
—
OK
05
—
100124110B
—
OK
01
—
P00452075
MEDICARE RR
OK
Enumeration date
06/08/2005
Last updated
12/14/2010
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