Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A119855 | CA |
N | 208600000X | Surgeon | A119855 | CA |
N | 208200000X | Surgeon | BP10027668 | TX |
N | 208600000X | Surgeon | BP10027668 | TX |
Y | 208200000X | Surgeon | DR.0052128 | CO |
Y | 208600000X | Surgeon | DR.0052128 | CO |
N | 2086S0102X | Surgical Critical Care | DR.0052128 | CO |
NPI | 1033318910 |
---|---|
Provider Name | Dr. Christopher Drumm Mitchell |
First Address | Loveland, CO 80538-9004 |
Second Address | Loveland, CO 80538-9004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 22/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01487311 | (05) | CO |