Jason L Mitchell, IDC
NPI #1558326058 in Bellefonte, Pennsylvania
Provider Information
- NPI Number
- 1558326058
- Entity Type
- Individual
- Name
- Jason L Mitchell, IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Apr 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 259 YORKSHIRE LN
- City
- Bellefonte
- State
- Pennsylvania
- ZIP Code
- 16823-7955
- Phone
- (814) 355-9038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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