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

MITCHELL ALEXANDER MCCLELLAN, DO

Active Sole Proprietor

MITCHELL ALEXANDER MCCLELLAN, DO is a 2083A0100X healthcare provider located in EGLIN AFB, Florida. NPI 1750901211 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · EGLIN AFB, FL

Registration Details

NPI Number
1750901211
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2020 (6.2720917827209 yrs)
Last Updated
Oct 5, 2023
Licenses
34.016149 (OH)
34.016149 (OH)
34.016149 (OH)
Sole Proprietor
Yes

Practice Information

Address
307 BOATNER RD STE 114
EGLIN AFB, FL, 325421302
Browse FL providers · Browse ZIP 32542
Phone
8508838754
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
2083A0100X

Other 2083A0100X Providers in EGLIN AFB, FL

Name Credential NPI
DR. PAMELA DEE SMITH M.D. 1871578427
ANN LOUISE HOYNIAK-BECKER MD, MPH 1033172226
DR. MICHAEL BRADLEY BROUGH D.O., MPH 1255432217
DR. DIANE CAMPBELL RITTER MD 1528150984
DR. BRETT ERLAND LINCK M.D. 1437353489
LETHON JORDAN MD 1255072773
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.