Organization
SEAHAWK EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL MD (GENERAL PARTNER)
(805) 563-3010
Entity
Organization
Contact information
Practice address
502 W 4TH AVE, TOPPENISH, WA 98948-1616
(509) 865-3105
Mailing address
PO BOX 37701, PHILADELPHIA, PA 19101-5001
(805) 563-3010
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2629
RAILROAD
WA
Enumeration date
10/19/2007
Last updated
07/24/2009
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