Phillip Dakotah Mitchell

Physician Assistant · LR Afb, AR

Individual Active NPI

NPI number 1376037424

Practice location

1090 Arnold Dr
LR Afb, AR 72099-4933
Phone
(501) 987-3080

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NPI record

NPI
1376037424
Entity type
Individual (Type 1)
Enumeration date
June 20, 2018
Last updated
April 5, 2022
Certified
April 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 025056 NY

About Phillip Mitchell

Phillip Dakotah Mitchell is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1090 Arnold Dr, LR Afb, AR 72099-4933. The NPI number 1376037424 was assigned on June 20, 2018 and the record was last updated on April 5, 2022.

Phillip Mitchell lists a license in the registry: #025056 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phillip Dakotah Mitchell?

The NPI number is 1376037424.

What is the phone number of Phillip Mitchell?

The phone number listed for the practice location is (501) 987-3080.

Where is Phillip Mitchell located?

1090 Arnold Dr, LR Afb, AR 72099-4933.

What is the taxonomy code for Phillip Mitchell?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.