MR. THADDEUS MITCHAM, PHYSICIAN ASSISTANT

Physician Assistant

Active Individual
NPI: 1497120760

Practice Address

36TH MEDICAL GROUP
UNIT 14010 BLDG 26012
Andersen Afb, GU 96543

Phone: (671) 366-4549

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1497120760 is the National Provider Identifier for MR. THADDEUS MITCHAM, PHYSICIAN ASSISTANT, a Physician Assistant provider located in Andersen Afb, GU. This NPI was enumerated on December 11, 2015.
MR. THADDEUS MITCHAM, PHYSICIAN ASSISTANT practices at 36TH MEDICAL GROUP, UNIT 14010 BLDG 26012, Andersen Afb, GU 96543.

Quick Facts

NPI
1497120760
Type
Individual
Enumerated
Dec 11, 2015
Last Updated
Aug 14, 2024

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