Mr Thaddeus Dwayne Mitcham, PHYSICIAN ASSISTANT | |
354 Medical Group, 2630 Central Ave, Eielson Afb, AK 99702-2301 | |
(907) 377-6127 | |
Not Available |
Full Name | Mr Thaddeus Dwayne Mitcham |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 354 Medical Group, Eielson Afb, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497120760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Mr Thaddeus Dwayne Mitcham, PHYSICIAN ASSISTANT 354 Medical Group, 2630 Central Ave, Eielson Afb, AK 99702-2301 Ph: (907) 377-6127 | Mr Thaddeus Dwayne Mitcham, PHYSICIAN ASSISTANT 354 Medical Group, 2630 Central Ave, Eielson Afb, AK 99702-2301 Ph: (907) 377-6127 |
Nathan Hamilton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2630 Central Ave # 3349, Eielson Afb, AK 99702 Phone: 907-377-6657 | |
Ryan Woolfe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2630 Central Ave, Eielson Afb, AK 99702 Phone: 503-715-6675 | |
Katherine Patterson Willett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2630 Central Ave, Eielson Afb, AK 99702 Phone: 907-377-1847 |