NPI 1164619052
Glenda K Mitchell, BAPSRS
Practice location
- Address
- 17 S Central Ave, Idabel, OK 74745-4625
- Phone
- (580) 286-5184
- Fax
- (580) 286-5185
- Mailing address
- 607 SE Ave D, Idabel, OK 74745-6204
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1164619052
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2007
- Record last updated
- 25 Sep 2007
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.