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NPI Code Detail

MEDICARE: CHRISTOPHER MITCHELL PA C

MEDICARE:   CHRISTOPHER  MITCHELL  PA C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50-002273RXOH

General Provider Information

NPI Number : 1972583375
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MITCHELL PA C
Provider Business Mailing Address
First Line : 5915 LANDERBROOK DR
Second Line : STE. 110 ALLERGY IMMUNOLOGY ASSOC., INC.
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4039
Country : US
Telephone Number : 216-381-3333
Fax Number : 216-381-3002
Provider Business Practice Location Address
First Line : 5915 LANDERBROOK DR
Second Line : STE. 110
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4039
Country : US
Telephone Number : 216-381-3333
Fax Number : 216-381-3002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 06/21/2019

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