Susan Elaine Mitchell
NPI #1699714592 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1699714592
- Entity Type
- Organization
- Organization Name
- Susan Elaine Mitchell
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1018 MAIN ST
- Address 2
- SUITE B
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3033
- Phone
- (573) 348-6767
Authorized Official
- Name
- SUSAN ELAINE MITCHELL, C.PED
- Title
- OWNER/CERTIFIED PEDORTHIST
- Phone
- (573) 348-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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