Organization Name: | CHRISTOPHER M MITCHELL MD PLLC |
NPI Number: | 1740534494 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER M MITCHELL (OWNER) |
Mailing Address: | 1705 W Gentry Ave Checotah |
State: | OK US |
Postal Code: | 744262100 |
Phone Number: | 9186866551 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 22526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |