| Alan L Mitchell, MD | |
|
501 S Burma Ave, Gillette, WY 82716-3426 | |
| (307) 688-1600 | |
| (307) 687-7243 |
| Full Name | Alan L Mitchell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 501 S Burma Ave, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447257720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 6301A (Wyoming) | Primary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Entity Name | Gillette Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407956246 PECOS PAC ID: 0446232193 Enrollment ID: O20040604000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan L Mitchell, MD Po Box 638, Gillette, WY 82717-0638 Ph: (307) 682-3078 | Alan L Mitchell, MD 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1600 |
Joseph J Lawrence, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 So. Burma Ave, Gillette, WY 82716 Phone: 307-688-1600 Fax: 307-687-7243 | |
James R. Lamanna, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1600 Fax: 307-687-7243 |