THADDEUS DWAYNE MITCHAM

ANDERSEN AFB, GU
NPI1497120760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-12-11
Last Update Date2024-08-14
Business Address
Mr. THADDEUS DWAYNE MITCHAM Physician Assistant
36TH MEDICAL GROUP UNIT 14010 BLDG 26012
ANDERSEN AFB, GU 96543-4003
Phone number: 671-366-4549
Mailing Address
Mr. THADDEUS DWAYNE MITCHAM Physician Assistant
36TH MEDICAL GROUP UNIT 14010 BLDG 26012
ANDERSEN AFB, GU 96543-4003
Phone number: 671-366-4549