Idol Ray Mitchell, DPM

NPI #1508850694 in Macomb, Illinois

Provider Information

NPI Number
1508850694
Entity Type
Individual
Name
Idol Ray Mitchell, DPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Sep 6, 2005
Last Updated
May 15, 2008

Practice Location

Address
437 EAST GRANT STREET
City
Macomb
ZIP Code
61455-3352
Phone
(309) 837-3964

Specialties & Taxonomy Codes

Specialty
Podiatrist

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Mcdonough County Hospital District

Part of Mcdonough County Hospital District

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