Search › Illinois › 172A00000X
Robert Mitchell
NPI 1922313758 · on the registry since 2010
Practice
- Address
- 1435 Bristlecone Dr
O Fallon, IL 62269 - Phone
- (731) 426-5969
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois