Individual
DR. CHARLES ROBINSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 500 W, SUITE 101, PROVO, UT 84604-3305
(801) 373-4366
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11014164A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
7706371-1205
UT
207RC0000X
Cardiovascular Disease Physician
A82925
CA
Other
Enumeration date
08/19/2008
Last updated
12/15/2021
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