Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADDEUS DWAYNE MITCHAM, PHYSICIAN ASSISTANT
ActiveMR. THADDEUS DWAYNE MITCHAM, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in ANDERSEN AFB, Guam. NPI 1497120760 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ANDERSEN AFB, GU
Registration Details
- NPI Number
- 1497120760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2015 (10.638988768995 yrs)
- Last Updated
- Aug 14, 2024
Practice Information
- Address
-
36TH MEDICAL GROUPUNIT 14010 BLDG 26012ANDERSEN AFB, GU, 965434003Browse GU providers · Browse ZIP 96543
- Phone
- 6713664549
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ANDERSEN AFB, GU
| Name | Credential | NPI |
|---|---|---|
| AMANDA JO SOLVEN | PA-C | 1073083002 |
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.