Provider Demographics
NPI:1689247827
Name:MITCHELL, DANIEL EASTON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EASTON
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:500 N KEENE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8104
Mailing Address - Country:US
Mailing Address - Phone:573-817-3096
Mailing Address - Fax:573-817-6645
Practice Address - Street 1:7115 E. ST. CHARLES RD.
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202
Practice Address - Country:US
Practice Address - Phone:573-884-6851
Practice Address - Fax:573-884-0293
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2021022120207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology