NPI 1033443601

Douglas Mitchell

Practitioner Specialist Broken Arrow, OK

Practice location

Address: 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102
Phone: (918) 286-1261
Fax: (918) 286-1265

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4259 (OK)

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Registry record

NPI: 1033443601
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2009
Record last updated: 29 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.