Dr Richard Norlin Mitchell, DO | |
1021 E Highway 22, Centralia, MO 65240-1183 | |
(573) 682-5588 | |
(573) 682-1539 |
Full Name | Dr Richard Norlin Mitchell |
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Gender | Male |
Speciality | Family Medicine |
Location | 1021 E Highway 22, Centralia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356475818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 107836 (Missouri) | Secondary |
207Q00000X | Family Medicine | 107836 (Missouri) | Primary |
Entity Name | Emergency Group Of Arizona Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
Mailing Address | Practice Location Address |
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Dr Richard Norlin Mitchell, DO 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (314) 996-7644 | Dr Richard Norlin Mitchell, DO 1021 E Highway 22, Centralia, MO 65240-1183 Ph: (573) 682-5588 |
Rebecca B Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5588 Fax: 573-682-1539 | |
Dr. Curtis David King, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5588 Fax: 573-682-1539 | |
Dr. Cathy Jo Cody, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5580 Fax: 573-682-1539 |