Provider Demographics
NPI:1164405247
Name:MITCHELL, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:MITCHELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4881 SUGAR MAPLE DR
Mailing Address - Street 2:MDOS/SGO
Mailing Address - City:WRIGHT PATTERSON AFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433-5546
Mailing Address - Country:US
Mailing Address - Phone:937-257-9145
Mailing Address - Fax:937-656-1830
Practice Address - Street 1:4881 SUGAR MAPLE DR
Practice Address - Street 2:MDOS/SGO
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-5546
Practice Address - Country:US
Practice Address - Phone:937-257-9145
Practice Address - Fax:937-656-1830
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MOR3H29207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease