Provider Demographics
NPI:1841240793
Name:MITHEN, FRANCIS ANDREW (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:ANDREW
Last Name:MITHEN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:4579 LACLEDE AVE # 377
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2103
Mailing Address - Country:US
Mailing Address - Phone:314-308-7991
Mailing Address - Fax:314-462-0661
Practice Address - Street 1:3933 S BROADWAY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-4601
Practice Address - Country:US
Practice Address - Phone:314-308-7991
Practice Address - Fax:314-462-0661
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR61522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA12481Medicare UPIN