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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHILLIP DAKOTAH MITCHELL

Active

MR. PHILLIP DAKOTAH MITCHELL is a Physician Assistant healthcare provider located in LR AFB, Arkansas. NPI 1376037424 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LR AFB, AR

Registration Details

NPI Number
1376037424
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2018 (8.134349727849 yrs)
Last Updated
Apr 5, 2022
License
025056 (NY)

Practice Information

Address
1090 ARNOLD DR
LR AFB, AR, 720994933
Browse AR providers · Browse ZIP 72099
Phone
5019873080
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.