SearchUtah207RC0000X

Charles Mitchell, M.D

NPI 1952558116 · on the registry since 2008

Practice

Address
1055 N 500 W
Suite 101
Provo, UT 84604
Phone
(801) 373-4366
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207RC0000X
207RC0000X
Licence states on file
CA, IN, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-15

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 Utah