MITCHELL MCTAVISH, PA-C
Physician Assistant
Active
Individual
NPI: 1386156891
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 6716 (CT) |
Frequently Asked Questions
NPI 1386156891 is the National Provider Identifier for MITCHELL MCTAVISH, PA-C, a Physician Assistant provider located in Bridgeport, CT. This NPI was enumerated on October 25, 2017.
MITCHELL MCTAVISH, PA-C practices at 267 GRANT ST, Bridgeport, CT 06610.
Quick Facts
- NPI
- 1386156891
- Type
- Individual
- Enumerated
- Oct 25, 2017
- Last Updated
- Jan 23, 2025
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