Bryan Keith Mitchell PA-C

NPI 1063638914 - Physician Assistant - 363A00000X

NPI Details
NPI 1063638914
Gender Male
Enumeration Date 04/18/2007
Last Updated 04/08/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
560 W MACPHAIL RD
BEL AIR MD, 21014-4320, US
Phone (410) 638-6480
Fax
Business Location
PO BOX 759047
BALTIMORE MD, 21275-9047, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0002528
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According to our database, Bryan Keith Mitchell PA-C NPI is 1063638914, taxonomy code is 363A00000X and license number is C0002528, license state is located at Maryland. Bryan Keith Mitchell PA-C physically located at 560 W Macphail Rd, Bel Air MD, 21014-4320. NPI Number Bryan Keith Mitchell PA-C has the Individual type.

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1063638914 NPI number is provided on an as is basis without warranty of any kind. 1063638914 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Keith Mitchell PA-C are for informational purposes only.