Orthopedics & Sports Medicine Plc

NPI 1023063963 - Physician Assistant - 363A00000X

NPI Details
NPI 1023063963
Enumeration Date 05/22/2006
Last Updated 10/23/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MITCHELL HOLIDAY MITCHELL
Position PRESIDENT AND CEO
Phone (319) 753-5352
Fax (319) 753-0462
Practice Location
1223 S GEAR AVE
EASTMAN PLAZA-SUITE 101
WEST BURLINGTON IA, 52655-1682, US
Phone (319) 753-5352
Fax (319) 753-0462
Business Location
2213 GRAND AVE
DES MOINES IA, 50312-5305, US
Phone (515) 237-3974
Fax (515) 883-2692
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Orthopedics & Sports Medicine Plc NPI is 1023063963, taxonomy code is 363A00000X Orthopedics & Sports Medicine Plc physically located at 1223 S Gear Ave, West Burlington IA, 52655-1682. NPI Number 1033115704 has the healthcare provider type.

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1023063963 NPI number is provided on an as is basis without warranty of any kind. 1023063963 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopedics & Sports Medicine Plc are for informational purposes only.