Kathleen J Mitcham, MPAS, PA-C

NPI #1366504540 in Box Elder, Montana

Provider Information

NPI Number
1366504540
Entity Type
Individual
Name
Kathleen J Mitcham, MPAS, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
MPAS, PA-C
Enumeration Date
Dec 14, 2006
Last Updated
Mar 1, 2012

Practice Location

Address
535 CLINIC RD E
State
Montana
ZIP Code
59521-8826
Phone
(406) 395-4486

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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